MS. Lucilyn Ann Bullock, PA-C

NPI #1104963552 in Tallmadge, Ohio

Provider Information

NPI Number
1104963552
Entity Type
Individual
Name
MS. Lucilyn Ann Bullock, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Feb 1, 2007
Last Updated
Mar 30, 2022

Practice Location

Address
60 NORTH AVE
State
Ohio
ZIP Code
44278-2011
Phone
(330) 670-4242

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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