Individual
MR. LONNIE NEWELL SHULL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 MULBERRY ST SW, STE 101, LENOIR, NC 28645-1648
(828) 758-5501
(828) 758-0080
Mailing address
PO BOX 1648, 401 MULBERRY ST SW STE 101, LENOIR, NC 28645-1648
(828) 758-5501
(828) 758-0080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76087
BCBS
NC
05
—
8976087
—
NC
Enumeration date
09/14/2006
Last updated
01/05/2010
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