Lisa Ann Pullum in Grand Rapids - Pain Medicine
Lisa Ann Pullum - NPI 1063476604
Lisa Ann Pullum is a Pain Medicine in Grand Rapids, Michigan. Lisa Ann Pullum practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Lisa Ann Pullum is 1063476604. The last update date is 2021-05-06.
Lisa Ann Pullum's current location address is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. You can contact this provider via phone number 6169402662 and fax number 6169401965. The mailing address for Lisa Ann Pullum is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Pullum |
|---|---|
| Address | 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1063476604 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 5555 Glenwood Hills Pkwy Se Ste 2 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495122091 |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | 5101013172 |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4802689-11 | MI | -- | |
| 7681459 | AETNA | ||
| 30230 | HEALTH PLAN OF MICHIGAN | ||
| 555590041 | MI | BCBSM | |
| 3743669 | CIGNA | ||
| 7000027121 | PRIORITY HEALTH MEDICAID | ||
| 50067089 | RAILROAD MEDICARE | ||
| 7000027121 | MI | PRIORITY HEALTH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Ann Pullum?
The Lisa Ann Pullum has been issued the NPI (National Provider Identifier) 1063476604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Lisa Ann Pullum is geographically located?
The Lisa Ann Pullum is physically situated at the following location: 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI, 495122091.
What is Lisa Ann Pullum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Ann Pullum is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Lp2900X.
On what date was the 1063476604 assigned to Lisa Ann Pullum?
The Lisa Ann Pullum was issued its 1063476604 on 2006-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lisa Ann Pullum most recently updated or revised?
The information pertaining to Lisa Ann Pullum, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-06.