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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MARIE MULLEN, MD

Active

LISA MARIE MULLEN, MD is a Family Medicine healthcare provider located in BUFFALO, Wyoming. NPI 1629364377 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BUFFALO, WY

Registration Details

NPI Number
1629364377
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2011 (15.104815020474 yrs)
Last Updated
Feb 16, 2015
Licenses
MR-1172 (ID)
9778A (WY)

Practice Information

Address
497 W LOTT ST
BUFFALO, WY, 828341658
Browse WY providers · Browse ZIP 82834
Phone
3076842228
Fax
3076842177
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BUFFALO, WY

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.