LACEY SULLIVAN, FNP-BC

FNP-BC

Nurse Practitioner

NPI: 1174951503IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

2013037701(MO)

Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

2013037701(MO)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2013

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Contact & Hours

Address: 7245 RAIDER RD STE C
BONNE TERRE, MO 63628
Phone: (573) 358-4600

Quick Facts

NPI: 1174951503
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 13

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