Individual
REBECCA MARIE LULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 HERITAGE WAY STE 202, KALISPELL, MT 59901-3127
(406) 752-8433
(406) 756-6768
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-114608
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STUDENT
STUDENT
AL
Enumeration date
04/22/2019
Last updated
01/14/2026
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