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1962707745
LACEY SULLIVAN
PASCAGOULA, MS
NPI
1962707745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: AL MD.35922)
Enumeration Date
2011-01-25
Last Update Date
2019-06-03
Business Address
LACEY SULLIVAN M.D.
2809 DENNY AVE
PASCAGOULA, MS 39581
Phone number: 228-818-6063
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Mailing Address
LACEY SULLIVAN M.D.
5052 W 4TH ST STE 7
HATTIESBURG, MS 39402-1069
Phone number: 601-261-2587
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