Individual
LYNEA IBIDUN BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3411
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
71470
TN
207P00000X
Emergency Medicine Physician
95866
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q094970
—
TN
Enumeration date
04/15/2020
Last updated
04/18/2025
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