Individual provider · Type 1 NPI

Lila Sullivan

Licensed Practical Nurse · Shelbyville, IL

NPI number 1073884904 Active

Practice location

1810 W South 3rd St
Shelbyville, IL 62565-9595

Call (217) 774-2113 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043069581 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

7 other providers at this address

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About NPI 1073884904

Lila Sullivan's National Provider Identifier is 1073884904, issued on Jan 24, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shelbyville, IL. The record was last updated on Jan 24, 2012.