Joseph Bradley Mulligan, LDO

NPI #1558091173 in La Grange, Kentucky

Provider Information

NPI Number
1558091173
Entity Type
Individual
Name
Joseph Bradley Mulligan, LDO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
LDO
Enumeration Date
Jun 15, 2022
Last Updated
Jun 15, 2022

Practice Location

Address
1015 NEW MOODY LN
ZIP Code
40031-9142
Phone
(502) 222-5292

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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