Individual
LISA MICHELLE RULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
Mailing address
1337 CLAYTON DR, SOUTH BEND, IN 46614-2157
(574) 309-0455
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30006128A
IN
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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