Individual provider · Type 1 NPI

Lisa Sullivan

Specialist · Mission Viejo, CA

NPI number 1144579418 Active

Practice location

252 California Ct
Mission Viejo, CA 92692-4098

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOTA2143 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1144579418

Lisa Sullivan's National Provider Identifier is 1144579418, issued on Sep 2, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mission Viejo, CA. The record was last updated on Sep 2, 2012.