LAVERNE SULLIVAN, RD

Dietitian, Registered

Active Individual
NPI: 1023045200

Practice Address

4210 FLAGSTAFF CV
Fort Wayne, IN 46815

Phone: (260) 489-9009

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 37000748A (IN)

Frequently Asked Questions

NPI 1023045200 is the National Provider Identifier for LAVERNE SULLIVAN, RD, a Dietitian, Registered provider located in Fort Wayne, IN. This NPI was enumerated on June 26, 2006.
LAVERNE SULLIVAN, RD practices at 4210 FLAGSTAFF CV, Fort Wayne, IN 46815.

Quick Facts

NPI
1023045200
Type
Individual
Enumerated
Jun 26, 2006
Last Updated
Jul 1, 2014

Nearby Providers