Individual
LISA MARIE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8528 MENTOR AVE, MENTOR, OH 44060-5822
(440) 266-9080
Mailing address
8528 MENTOR AVE, MENTOR, OH 44060-5822
(440) 266-9080
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
TP.11111
OH
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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