Dr TODD E BULLOCK is a male medical professional, specializing in Nurse Practitioner. He graduated in 1995.
TWIN LAKES MEDICAL FOUNDATION INC
301 SUNSET DR
CANEYVILLE
KY
427219172
Tel: 2708793711
| Npi | 1104822360 |
| Pac Id | 4385769462 |
| Professional Enrollment Id | I20100913000881 |
| Last Name | BULLOCK |
| First Name | TODD |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | TWIN LAKES MEDICAL FOUNDATION INC |
| Group Practice Pac Id | 3971591850 |
| Number Of Group Practice Members | 23 |
| Line 1 Street Address | 301 SUNSET DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CANEYVILLE |
| State | KY |
| Zip Code | 427219172 |
| Phone Number | 2708793711 |
| Hospital Affiliation Ccn 1 | 180070 |
| Hospital Affiliation Lbn 1 | TWIN LAKES REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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