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

LAUREN MARIE BULLARD, PA-C

Active

LAUREN MARIE BULLARD, PA-C is a Medical Physician Assistant healthcare provider located in WOODHAVEN, Michigan. NPI 1720330319 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WOODHAVEN, MI

Registration Details

NPI Number
1720330319
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2012 (13.883518954376 yrs)
Last Updated
Jan 14, 2025
Licenses
5601006508 (MI)
5601006508 (MI)

Practice Information

Address
21401 ALLEN RD
WOODHAVEN, MI, 481831665
Browse MI providers · Browse ZIP 48183
Phone
7346750835
Fax
7346750873
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in WOODHAVEN, MI

Name Credential NPI
OLIVIA RAFFAELLA-ANNA KEENAN P.A.-C 1275189334
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.