Sullivan, Lisa

Sullivan, Lisa is an individual health care provider with primary practice located at 110 Business Park Dr , Utica NY 13502-6302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Lisa can be contacted via phone (315) 624-7000.

Contact Information

Primary practice address
110 Business Park Dr Utica NY 13502-6302
Phone: (315) 624-7000
Fax: (315) 735-5226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F301118-1 New York

Profile Details

NPI number 1922081199
LBN Legal business name Sullivan, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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