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1750636783
LISA SULLIVAN
LAKE CHARLES, LA
NPI
1750636783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: LA RN109596)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- LISA SULLIVAN
3236 KIRKMAN ST
LAKE CHARLES, LA 70601-8640
Phone number: 337-480-2627
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Mailing Address
-- LISA SULLIVAN
6523 SUN MEADOW LN
LAKE CHARLES, LA 70605-0449
Phone number: 337-478-9610
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