Individual
LAURIE RAFAELLE MARZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9587
(205) 975-4623
Mailing address
1600 7TH AVE S STE 110, BIRMINGHAM, AL 35233-1711
(205) 638-9587
(205) 975-4623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.25381
AL
208000000X
Pediatrics Physician
MD.25381
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.25381
AL
Other
Enumeration date
10/06/2005
Last updated
08/29/2019
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