person
Ms. Lucilyn Ann Bullock, PA-C
Medical Physician Assistant in Tallmadge, Ohio
NPI 1104963552

Lucilyn Ann Bullock is a Medical Physician Assistant based in Tallmadge, OH and is specialized in Medical. Lucilyn Ann Bullock practices in Tallmadge, OH and has the professional credentials of PA-C. The NPI Number for Lucilyn Ann Bullock is 1104963552 and holds a License No. 50-000779 (Ohio).

The current practice location address for Lucilyn Ann Bullock is 60 North Ave, Tallmadge, OH and can be reached out via phone at 330-670-4242 and via fax at 330-670-4241.

Location: 60 North Ave, Tallmadge, OH, 44278-2011
person
Provider Profile Details
NPI Number
1104963552
Provider Name
Lucilyn Ann Bullock
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
60 North Ave, Tallmadge, OH, 44278-2011
Phone Number
330-670-4242
Fax Number
330-670-4241
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
60 North Ave
City
State
Zip
44278-2011
Phone Number
330-670-4242
Fax Number
330-670-4241
person
Provider Business Mailing Address Details
Address
60 North Ave
City
State
Zip
44278-2011
Phone Number
330-670-4242
Fax Number
330-670-4241
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50-000779 (Ohio)
Definition
Definition to come...
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