Individual
MRS. VICKI LEA LULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61 E 5TH ST, SUPERIOR, WI 54880-3030
(715) 392-7215
Mailing address
61 E 5TH ST, SUPERIOR, WI 54880-3030
(715) 392-7215
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
174405030
WI
163WH0200X
Home Health Registered Nurse
Primary
R1322567
MN
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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