Individual
LENORA Y BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017
(202) 269-7000
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 851-7423
(510) 879-9120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD32830
DC
Other
Enumeration date
07/08/2006
Last updated
02/23/2017
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