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Lorie Sullivan

NPI 1518771161 · on the registry since 2025 · sole proprietor

Practice

Address
9427 Eastside Drive Ext # A
Newton, MS 39345
Phone
(601) 683-0330
Fax
(601) 635-3746

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi