Lillie Demarest Bullock

NPI #1285304600 in Anchorage, Alaska

Provider Information

NPI Number
1285304600
Entity Type
Individual
Name
Lillie Demarest Bullock
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Sep 16, 2021
Last Updated
Mar 9, 2023

Practice Location

Address
4320 DIPLOMACY DR
State
Alaska
ZIP Code
99508-5925
Phone
(907) 729-3300

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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