person
Lori A Mccullough, PA-C
Medical Physician Assistant in Belleville, Illinois
NPI 1336312693

Lori A Mccullough is a Medical Physician Assistant based in Saint Louis, IL and is specialized in Medical. Lori A Mccullough practices in Belleville, IL and has the professional credentials of PA-C. The NPI Number for Lori A Mccullough is 1336312693 and holds a License No. 2002001000 (Illinois).

The current practice location address for Lori A Mccullough is 4500 Memorial Dr, Belleville, IL and can be reached out via phone at 618-257-6220.

Location: 4500 Memorial Dr, Belleville, IL, 63117-1850
person
Provider Profile Details
NPI Number
1336312693
Provider Name
Lori A Mccullough
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4500 Memorial Dr, Belleville, IL, 63117-1850
Phone Number
618-257-6220
Fax Number
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4500 Memorial Dr
City
State
Zip
62226-5360
Phone Number
618-257-6220
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Memorial Dr
City
State
Zip
62226-5360
Phone Number
618-257-6220
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2002001000 (Missouri)
Definition
Definition to come...
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