Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARA BETH SULLIVAN, CPM
ActiveLARA BETH SULLIVAN, CPM is a Community Health Worker healthcare provider located in KAWKAWLIN, Michigan. NPI 1477938587 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · KAWKAWLIN, MI
Registration Details
- NPI Number
- 1477938587
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2015 (10.99973597436 yrs)
- Last Updated
- Jul 30, 2015
Practice Information
- Address
-
2424 WETTERS RDKAWKAWLIN, MI, 486319411Browse MI providers · Browse ZIP 48631
- Phone
- 9892396388
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.