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Lisa Ann Pullum, DO
Interventional Pain Medicine Physician in Greenville, Michigan
NPI 1063476604

Lisa Ann Pullum is a Interventional Pain Medicine Physician based in Grand Rapids, MI and is specialized in Interventional Pain Medicine. Lisa Ann Pullum practices in Greenville, MI and has the professional credentials of DO. The NPI Number for Lisa Ann Pullum is 1063476604 and holds a License No. 5101013172 (Michigan).

The current practice location address for Lisa Ann Pullum is 6896 S Greenville Rd Ste 100, Greenville, MI and can be reached out via phone at 616-754-5036 and via fax at 616-754-4380.

Location: 6896 S Greenville Rd Ste 100, Greenville, MI, 49512-2091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063476604
Provider Name
Lisa Ann Pullum
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6896 S Greenville Rd Ste 100, Greenville, MI, 49512-2091
Phone Number
616-754-5036
Fax Number
616-754-4380
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4802689-11 05 MI
7681459 01 AETNA
30230 01 HEALTH PLAN OF MICHIGAN
555590041 01 MI BCBSM
3743669 01 CIGNA
7000027121 01 PRIORITY HEALTH MEDICAID
050067089 01 RAILROAD MEDICARE
7000027121 01 MI PRIORITY HEALTH
institution
Provider Business Practice Location Address Details
Address
6896 S Greenville Rd Ste 100
City
Greenville
State
Michigan
Zip
48838-1081
Phone Number
616-754-5036
Fax Number
616-754-4380
person
Provider Business Mailing Address Details
Address
6896 S Greenville Rd Ste 100
City
Greenville
State
Michigan
Zip
48838-1081
Phone Number
616-754-5036
Fax Number
616-754-4380
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
5101013172 (Michigan)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
5101013172 (Michigan)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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