| Doctor Name: | D'ANNA LINDA-MARIE SULLIVAN |
| NPI Number: | 1578692638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2200 Bergquist Dr Lackland A F B, TX - 782369907 |
| Business Phone Number: | 2102922988 |
| Business Fax Number: | |
| Mailing Address: | 2200 Bergquist Dr, LACKLAND AFB |
| State: | TX |
| Postal Code: | 782369907 |
| Phone Number: | 2106790569 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |