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NPI Code Detail

MEDICARE: LAUREN BULLINGTON

MEDICARE: LAUREN BULLINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1538624903
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BULLINGTON
Provider Business Mailing Address
First Line : 107 MURRAY ST
Second Line :
City : DALLAS
State : TX
Zip : 75226-1645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 MURRAY ST
Second Line :
City : DALLAS
State : TX
Zip : 75226-1645
Country : US
Telephone Number : 469-360-3810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2019
Last Update Date : 02/09/2019

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Directions to “ LAUREN BULLINGTON ” Practice Location

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