Lisa Ann Pullum DO

NPI 1063476604 - Pain Medicine - 208VP0014X

NPI Details
NPI 1063476604
Gender Female
Enumeration Date 04/12/2006
Last Updated 11/18/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
6896 SOUTH GREENVILLE RD
STE 100
GREENVILLE MI, 48838, US
Phone (616) 754-5036
Fax (616) 754-4380
Business Location
61 COMMERCE AVE SW
GRAND RAPIDS MI, 49503-4124, US
Phone (616) 940-0660
Fax (616) 940-1965
Toxanomy
Taxonomy Code 208VP0014X
License State Michigan
License Number 5101013172
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According to our database, Lisa Ann Pullum DO NPI is 1063476604, taxonomy code is 208VP0014X and license number is 5101013172, license state is located at Michigan. Lisa Ann Pullum DO physically located at 6896 South Greenville Rd, Greenville MI, 48838. NPI Number Lisa Ann Pullum DO has the Individual type.

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1063476604 NPI number is provided on an as is basis without warranty of any kind. 1063476604 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Pullum DO are for informational purposes only.