Lawrence P Sullivan, | |
1700 W Paradise Dr, West Bend, WI 53095-9795 | |
(262) 334-3451 | |
Not Available |
Full Name | Lawrence P Sullivan |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1700 W Paradise Dr, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639251465 | NPI | - | NPPES |
5803 | Other | INTERNAL ID-MOTOR VEHICLE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 29177 (Wisconsin) | Primary |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
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Lawrence P Sullivan, 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: () - | Lawrence P Sullivan, 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 |
Jorge Marquez De Leon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 Gateway Ct, West Bend, WI 53095 Phone: 262-335-8600 | |
Dr. Rajesh Kumar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 W River Drive, West Bend, WI 53090 Phone: 262-338-2717 Fax: 262-338-9767 | |
Arun Vasudev Parikh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1626 Clarence Ct, Genesis Behavioral Services, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Chhaya Patel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 | |
Denise Elizabeth Davis, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 E. Washington Street, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Milo Gerald Durst, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 333 E. Washington Street, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 |