MEDICARE: DR. ULLA J ULE MD

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	174400000X	Specialist	012366	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952391203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ULLA J ULE MD

Provider Business Mailing Address
First Line	:	3330 MASONIC DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3841
Country	:	US
Telephone Number	:	318-448-6917
Fax Number	:	318-448-6866

Provider Business Practice Location Address
First Line	:	3330 MASONIC DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3841
Country	:	US
Telephone Number	:	318-448-6917
Fax Number	:	318-448-6866

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	03/02/2010

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Directions to “ DR. ULLA J ULE MD” Practice Location

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