-- LISA MARIE MULLEN -- MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1629364377- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 497 W LOTT ST, BUFFALO, WY, 828341658
- Phone
- (307) 684-2228
- Fax
- (307) 684-2177
Specialties & Taxonomies
Family Medicine
License: ID #MR-1172
Family Medicine
Primary License: WY #9778A