Individual
DR. JENNIFER L LULTSCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506
(304) 598-4000
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
24729
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102546321
—
PA
Enumeration date
11/16/2010
Last updated
04/15/2022
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