Organization
DRLULLABY LLC
Active
Parent organization
DRLULLABY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRLULLABY LLC
Authorized official
LISA ANN MEDALIE (CEO)
(844) 475-3379
Entity
Organization
Contact information
Practice address
4533 MACARTHUR BLVD, NEWPORT BEACH, CA 92660-2059
(844) 475-3379
Mailing address
1101 DAVIS ST STE 5767, EVANSTON, IL 60201-5945
(844) 475-3379
(855) 644-2981
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
09/12/2023
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