Lucilyn Ann Bullock in Tallmadge - Medical
Lucilyn Ann Bullock - NPI 1104963552
Lucilyn Ann Bullock is a Medical in Tallmadge, Ohio. Lucilyn Ann Bullock practices all healthcare services and medical treatments related to Medical. The NPI Number for Lucilyn Ann Bullock is 1104963552. The last update date is 2022-03-30.
Lucilyn Ann Bullock's current location address is 60 North Ave, Tallmadge, Ohio. You can contact this provider via phone number 3306704242 and fax number 3306704241. The mailing address for Lucilyn Ann Bullock is 60 North Ave, Tallmadge, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lucilyn Ann Bullock |
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Address | 60 North Ave, Tallmadge, Ohio |
Phone Number | 3306704242 |
Fax Number | 3306704241 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1104963552 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2022-03-30 |
Provider Mailing Address Detail
Address | 60 North Ave |
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City | Tallmadge |
State | Ohio (OH) |
Post Code | 4427820110 |
Phone Number | 3306704242 |
Fax Number | 3306704241 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 50-000779 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lucilyn Ann Bullock by the Centers for Medicare & Medicaid Services?
The Lucilyn Ann Bullock has been issued the NPI (National Provider Identifier) 1104963552, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lucilyn Ann Bullock is physically located?
The Lucilyn Ann Bullock is situated at the following address: 60 North Ave, Tallmadge, OH 4427820110.
What is the Lucilyn Ann Bullock's specialty and taxonomy code?
The Lucilyn Ann Bullock's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When was the Lucilyn Ann Bullock's 1104963552 issued?
The Lucilyn Ann Bullock's 1104963552 was issued on 2007-02-01.
When was the information regarding Lucilyn Ann Bullock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lucilyn Ann Bullock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-03-30.
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