NPI Profile for DONNA SUE SULLIVAN in LAFAYETTE, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Blind |
2255R0406X |
| NPI # | 1902437379 |
|
| Status | Active | |
| Credentials | COMS, CLVT | |
| Entity | Individual | |
| Enumeration date | 02/04/2020 | |
| Last updated | 02/04/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DONNA SUE SULLIVAN
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