person
Lauren Marie Bullard, PA-C
Medical Physician Assistant in Dearborn, Michigan
NPI 1720330319

Lauren Marie Bullard is a Medical Physician Assistant based in Southfield, MI and is specialized in Medical. Lauren Marie Bullard practices in Dearborn, MI and has the professional credentials of PA-C. The NPI Number for Lauren Marie Bullard is 1720330319 and holds a License No. 5601006508 (Michigan).

The current practice location address for Lauren Marie Bullard is 17000 Hubbard Dr, Dearborn, MI and can be reached out via phone at 313-271-3802 and via fax at 313-271-2375. You can also correspond with Lauren Marie Bullard through the mailing address at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI - 48033-3849 (mailing address contact number: 947-522-1863).

Location: 17000 Hubbard Dr, Dearborn, MI, 48033-3849
person
Provider Profile Details
NPI Number
1720330319
Provider Name
Lauren Marie Bullard
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
17000 Hubbard Dr, Dearborn, MI, 48033-3849
Phone Number
313-271-3802
Fax Number
313-271-2375
Provider Enumeration Date
10/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17000 Hubbard Dr
City
State
Zip
48126-4258
Phone Number
313-271-3802
Fax Number
313-271-2375
person
Provider Business Mailing Address Details
Address
26901 Beaumont Blvd Ste 3D
City
State
Zip
48033-3849
Phone Number
947-522-1863
Fax Number
947-522-0307
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601006508 (Michigan)
Definition
Definition to come...
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