| Lucy Mackinnon Sullivan, | |
|
4820 31st St S Ste B, Arlington, VA 22206-1665 | |
| (703) 865-6490 | |
| Not Available |
| Full Name | Lucy Mackinnon Sullivan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4820 31st St S Ste B, Arlington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215773031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86300512 (Maryland) | Primary |
| Provider Name | Privia Medical Group, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucy Mackinnon Sullivan, 6630 81st St, Cabin John, MD 20818-1205 Ph: (410) 980-2924 | Lucy Mackinnon Sullivan, 4820 31st St S Ste B, Arlington, VA 22206-1665 Ph: (703) 865-6490 |
Samantha Tryon, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2001 Jefferson Davis Hwy, Ste 211, Arlington, VA 22202 Phone: 571-257-3364 |
Josh Patricia Alba Balmediano, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4820 31st St S Ste B, Arlington, VA 22206 Phone: 703-865-6490 Fax: 703-865-6542 |
Melinda Cater, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2316 N Kentucky St, Arlington, VA 22205 Phone: 703-538-2223 |
Mrs. Joanna Pustilnik, MS RDN LDN CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2134 S Nelson St, Arlington, VA 22204 Phone: 804-787-4431 |
Carolyn M. Arbuckle, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 N Stafford St Apt 1112, Arlington, VA 22203 Phone: 585-683-0734 |
Miss Jordan Paige Spivak, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2100 S Quebec St, Arlington, VA 22204 Phone: 630-615-9144 |
Lauren Trocchio, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 S Shirlington Rd, 505, Arlington, VA 22206 Phone: 571-356-5164 |