person
Joseph Bradley Mulligan, LDO
Optician in La Grange, Kentucky
NPI 1558091173

Joseph Bradley Mulligan is a Optician based in Shelbyville, KY and is specialized in Optician. Joseph Bradley Mulligan practices in La Grange, KY and has the professional credentials of LDO. The NPI Number for Joseph Bradley Mulligan is 1558091173 and holds a License No. SLD41354 (Kentucky).

The current practice location address for Joseph Bradley Mulligan is 1015 New Moody Ln, La Grange, KY and can be reached out via phone at 502-222-5292 and via fax at 502-222-5274.

Location: 1015 New Moody Ln, La Grange, KY, 40065-1447
person
Provider Profile Details
NPI Number
1558091173
Provider Name
Joseph Bradley Mulligan
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
1015 New Moody Ln, La Grange, KY, 40065-1447
Phone Number
502-222-5292
Fax Number
502-222-5274
Provider Enumeration Date
06/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 New Moody Ln
City
State
Zip
40031-9142
Phone Number
502-222-5292
Fax Number
502-222-5274
person
Provider Business Mailing Address Details
Address
1015 New Moody Ln
City
State
Zip
40031-9142
Phone Number
502-222-5292
Fax Number
502-222-5274
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
SLD41354 (California)
Definition
Definition to come...
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