LUCILYN BULLOCK

SUMMA PHYSICIANS INC

Dr LUCILYN BULLOCK is a female medical professional, specializing in Physician Assistant. She graduated in 1994.

Contact

SUMMA PHYSICIANS INC

182 E AVE
TALLMADGE
OH
442782311

Tel: 3306309726

LUCILYN BULLOCK Information

Npi 1104963552
Pac Id 6507921756
Professional Enrollment Id I20090223000283
Last Name BULLOCK
First Name LUCILYN
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1994
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SUMMA PHYSICIANS INC
Group Practice Pac Id 2961303532
Number Of Group Practice Members 507
Line 1 Street Address 182 E AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TALLMADGE
State OH
Zip Code 442782311
Phone Number 3306309726
Hospital Affiliation Ccn 1 360020
Hospital Affiliation Lbn 1 SUMMA HEALTH SYSTEM
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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