Individual
MS. LIZETTE L MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, MSOM
Contact information
Practice address
3177 S WOLLMER RD, WEST ALLIS, WI 53227-4012
(414) 852-9433
Mailing address
3177 S WOLLMER RD, WEST ALLIS, WI 53227-4012
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
375-055
WI
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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