Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LUCILYN ANN BULLOCK, PA-C
ActiveMS. LUCILYN ANN BULLOCK, PA-C is a Medical Physician Assistant healthcare provider located in TALLMADGE, Ohio. NPI 1104963552 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · TALLMADGE, OH
Registration Details
- NPI Number
- 1104963552
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2007 (19.57280622572 yrs)
- Last Updated
- Mar 30, 2022
- License
-
50-000779 (OH)
Practice Information
- Address
-
60 NORTH AVETALLMADGE, OH, 442782011Browse OH providers · Browse ZIP 44278
- Phone
- 3306704242
- Fax
- 3306704241
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in TALLMADGE, OH
| Name | Credential | NPI |
|---|---|---|
| MS. PHYLLIS MARIE KAZIMER | P.A.-C. | 1164611018 |
| MS. MORGAN HOLMES | PA-C | 1982218186 |
| BRENT ANDREW CLUTTER | — | 1609729607 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.