Individual
MR. LUKE BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1827 E WASHINGTON AVE APT 271, MADISON, WI 53704-5270
(617) 817-5853
Mailing address
1827 E WASHINGTON AVE APT 271, MADISON, WI 53704-5270
(617) 817-5853
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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