Search › Idaho › 106S00000X
Lysha Sullivan
NPI 1881418051 · on the registry since 2024
Practice
- Address
- 130 S Lincoln Ave
Jerome, ID 83338 - Phone
- (208) 595-4950
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 101Y00000X
103K00000X
390200000X - Sex
- Female
- Record last updated
- 2024-11-13
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 Idaho