Individual
M LUCILLE PYLKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
781 BLACK OAK DR, SUITE 102, MEDFORD, OR 97504-9502
(541) 789-4236
(541) 789-5965
Mailing address
100 E MAIN ST, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5526
(541) 789-5203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00388
OR
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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