NPI 1629364377

Lisa Marie Mullen, MD

Practitioner Family Medicine Physician Buffalo, WY

Practice location

Address: 497 W Lott St, Buffalo, WY 82834-1658
Phone: (307) 684-2228
Fax: (307) 684-2177

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9778A (WY)

Other Family Medicine providers in Wyoming →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MR-1172 (ID)

Registry record

NPI: 1629364377
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2011
Record last updated: 16 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.