DO Lisa Ann Pullum, NPI 1063476604
Interventional Pain Medicine Physician in Greenville, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1063476604 |
| NPI Entity Type | Individual |
| Provider Name | DO Lisa Ann Pullum |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 6896 S Greenville Rd Ste 100, Greenville, MI, US |
| Provider Mailing Address | 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI, US, 495122091 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Interventional Pain Medicine Physician |
| Classification | |
| Group | |
| License No. | 5101013172 |
| License State | MI |
| Description | Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 5101013172 | MI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 4802689-11 | MI | MEDICAID | 05 |
| 7681459 | AETNA | 01 | |
| 30230 | HEALTH PLAN OF MICHIGAN | 01 | |
| 555590041 | MI | BCBSM | 01 |
| 3743669 | CIGNA | 01 | |
| 7000027121 | PRIORITY HEALTH MEDICAID | 01 | |
| 050067089 | RAILROAD MEDICARE | 01 | |
| 7000027121 | MI | PRIORITY HEALTH | 01 |
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