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LORI A SULLIVAN MD LLC
NPI 1083569966
Family Medicine in West Jefferson, OH

Active since March 04, 2026CLIA 36D2341379 · Waiver
487 W MAIN ST STE B, WEST JEFFERSON, OH 43162(614) 454-7559(614) 454-2989 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lori A Sullivan Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI A SULLIVAN MD LLC (NPI 1083569966) is a healthcare organization registered as a family medicine in West Jefferson, Ohio and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Lori Sullivan, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1083569966
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLORI A SULLIVAN MD LLC
Location Address487 W MAIN ST STE BWest Jefferson, OH 43162-1178
Mailing Address487 W Main St Ste BWest Jefferson, OH 43162-1178 · (614) 454-7559 · Fax (614) 454-2989
Phone(614) 454-7559
Fax(614) 454-2989
Organization SubpartNo
Authorized OfficialLori SullivanPhysician/owner · (614) 454-7559
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1083569966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
487 W MAIN ST STE B, West Jefferson, OH 43162
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2341379

Lori A Sullivan MD LLC · West Jefferson, OH
Active · expires Mar 31, 2028
CLIA Number36D2341379
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorLori A. Sullivan
Laboratory Phone(614) 454-7599
Laboratory LocationLori A Sullivan MD LLC487 W Main Stree, Suite B, West Jefferson, OH 43162
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori A Sullivan MD LLC's NPI number?

The NPI number for Lori A Sullivan MD LLC is 1083569966. It was assigned to this organization in the NPPES registry on March 4, 2026.

Where is Lori A Sullivan MD LLC located?

Lori A Sullivan MD LLC is located at 487 W Main St Ste B, West Jefferson, OH 43162. The listed phone number is (614) 454-7559.

What is Lori A Sullivan MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lori A Sullivan MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2341379) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lori A Sullivan MD LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.