Individual provider · Type 1 NPI
Lucilyn Ann Bullock, PA-C
Medical Physician Assistant · Tallmadge, OH
NPI number
1104963552
Active
Practice location
60 North Ave
Tallmadge, OH 44278-2011
Fax (330) 670-4241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 50-000779 (OH) |
Medical Physician Assistant: Definition to come...
7 other providers at this address
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- Summa Physicians LLCFamily Medicine Physician Tallmadge, OH NPI 1801058631
- Brandi PodboyPhysician Assistant Tallmadge, OH NPI 1073101192
- Elizabeth Joy Bevington, MDFamily Medicine Physician Tallmadge, OH NPI 1013437284
- Jessica L. Heintzelman, DOFamily Medicine Physician Tallmadge, OH NPI 1578806618
- Katie Jo Jankowski-Schneckenburger, PAPhysician Assistant Tallmadge, OH NPI 1235832676
- Riley James Miller, APRN, FNP-CFamily Nurse Practitioner Tallmadge, OH NPI 1508750746
Other medical physician assistant providers in Tallmadge
About NPI 1104963552
Lucilyn Ann Bullock, PA-C's National Provider Identifier is 1104963552, issued on Feb 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tallmadge, OH. The record was last updated on Mar 30, 2022.