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Individual

MICHAEL A LULFS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
878 BURR RD, WAUSEON, OH 43567-1657
(419) 335-7023
Mailing address
878 BURR RD, WAUSEON, OH 43567-1657
(419) 335-7023

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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