MRS. Lisa Jean Bullock

NPI #1700658564 in Germantown, Ohio

Provider Information

NPI Number: 1700658564
Entity Type: Individual
Name: MRS. Lisa Jean Bullock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 25, 2023
Last Updated: Oct 25, 2023

Practice Location

Address: 14727 BADEN RD
City: Germantown
State: Ohio
ZIP Code: 45327-9407
Phone: (937) 604-1811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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