Lisa Marie Mullen, MD

NPI #1629364377 in Buffalo, Wyoming

Provider Information

NPI Number: 1629364377
Entity Type: Individual
Name: Lisa Marie Mullen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 21, 2011
Last Updated: Feb 16, 2015

Practice Location

Address: 497 W LOTT ST
City: Buffalo
State: Wyoming
ZIP Code: 82834-1658
Phone: (307) 684-2228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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