Individual
JEFFREY FREEMAN LULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
(406) 751-3068
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7457
(205) 348-1770
(205) 348-1772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-114081
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2019
Last updated
12/17/2024
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