| Laverne A Sullivan, RD | |
|
4210 Flagstaff Cv, Fort Wayne, IN 46815-4417 | |
| (260) 489-9009 | |
| (260) 489-5057 |
| Full Name | Laverne A Sullivan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4210 Flagstaff Cv, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023045200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 37000748A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Laverne A Sullivan, RD 5244 Jeffries Lane, Newburgh, IN 47630 Ph: (812) 454-1710 | Laverne A Sullivan, RD 4210 Flagstaff Cv, Fort Wayne, IN 46815-4417 Ph: (260) 489-9009 |
Mrs. Alyce S Yoder, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11104 Parkview Circle Dr, Suite 330, Fort Wayne, IN 46845 Phone: 888-543-6397 | |
Maria Krach, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2515 Mill Pond Ct., Fort Wayne, IN 46804 Phone: 260-436-1312 Fax: 260-436-1312 | |
Mrs. Katherine R Capen, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057 | |
Shawn L Quinn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8028 Carnegie Blvd, Suite 250, Fort Wayne, IN 46804 Phone: 260-373-7872 Fax: 260-755-6233 | |
Bonnie L. Gunckel, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057 | |
Tiane Bianski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 Phone: 260-385-4123 |