Individual
LYNN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3207 N ACADEMY BLVD, SUITE 300, COLORADO SPRINGS, CO 80917-5100
(719) 597-8704
(719) 597-6864
Mailing address
3207 N ACADEMY BLVD, SUITE 300, COLORADO SPRINGS, CO 80917-5100
(719) 597-8704
(719) 597-6864
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36874
CO
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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