Individual
LISA A MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10755 FALLS ROAD, SUITE 440, LUTHERVILLE, MD 21093-4539
(410) 583-2703
(410) 583-2797
Mailing address
10755 FALLS ROAD, SUITE 440, LUTHERVILLE, MD 21093-4539
(410) 583-2703
(410) 583-2797
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D50263
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139802400
—
MD
Enumeration date
05/15/2006
Last updated
10/19/2015
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