Individual
KIRAN SUNIL LULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 WASHINGTON ST, WELLESLEY, MA 02481-3105
(781) 434-8639
Mailing address
720 WELLESLEY ST, WESTON, MA 02493-1000
(781) 237-5687
(617) 636-4852
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
217322
MA
Other
Enumeration date
11/25/2005
Last updated
05/24/2021
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