NPI 1962707745

Lacey Sullivan, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Pascagoula, MS

Practice location

Address: 2809 Denny Ave, Pascagoula, MS 39581
Phone: (228) 818-6063
Fax: (228) 809-2254
Mailing address: 5052 W 4th St STE 7, Hattiesburg, MS 39402-1069

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD.35922 (AL)

Other Pathology providers in Mississippi →

Registry record

NPI: 1962707745
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2011
Record last updated: 3 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.