MEDICARE: DR. ERALD LULA

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
1	207R00000X	Internal Medicine Physician	MD.44788	AL

General Provider Information

NPI Number	:	1790246098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERALD LULA

Provider Business Mailing Address
First Line	:	3850 GALLERIA WOODS DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-1098
Country	:	US
Telephone Number	:	586-804-2075
Fax Number	:

Provider Business Practice Location Address
First Line	:	3850 GALLERIA WOODS DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-1098
Country	:	US
Telephone Number	:	586-804-2075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2019
Last Update Date	:	06/22/2026

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Directions to “ DR. ERALD LULA ” Practice Location

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