Individual
MS. LAURIE A CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
955 HOSFORD RD, GALION, OH 44833
(419) 468-7059
(419) 468-6962
Mailing address
955 HOSFORD RD, GALION, OH 44833-9325
(419) 468-0935
(419) 462-5372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084962
—
OH
Enumeration date
12/29/2010
Last updated
12/29/2020
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