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Sierra Lynn Sullivan

Student in an Organized Health Care Education/Training Program

Student, Health Care

Department Of Internal Medicine - 3601 4th St, Lubbock, TX 79430-0001

PECOS Enrollment

This provider is enrolled in PECOS as SIERRA SULLIVAN.

Based on the most recent information from CMS, provider Sierra Lynn Sullivan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1598402802
Provider Type
Individual
Full Name
Sullivan, Sierra Lynn
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/18/2022
Last Updated
6/30/2025

Contact Information

Practice Location

Department Of Internal Medicine - 3601 4th St, Lubbock, TX 79430-0001

(623) 313-0601

Unlisted Fax

Mailing Location

5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200

(214) 648-3433

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Texas

Sierra Lynn Sullivan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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