Individual
LISA ANN PULLUM
Active
Individual
LISA ANN PULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
5101013172
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
5101013172
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050067089
RAILROAD MEDICARE
—
01
—
30230
HEALTH PLAN OF MICHIGAN
—
01
—
3743669
CIGNA
—
05
—
4802689-11
—
MI
01
—
555590041
BCBSM
MI
01
—
7000027121
PRIORITY HEALTH
MI
01
—
7000027121
PRIORITY HEALTH MEDICAID
—
01
—
7681459
AETNA
—
Enumeration date
04/12/2006
Last updated
04/02/2025
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