Jennifer Jacqueline Lula, DO | |
44201 Dequindre Rd Ste Ec, Troy, MI 48085-1117 | |
(248) 964-5111 | |
Not Available |
Full Name | Jennifer Jacqueline Lula |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 44201 Dequindre Rd Ste Ec, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336704303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5151013449 (Michigan) | Primary |
Entity Name | Beaumont Medical Group Hospital Based Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Jacqueline Lula, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1863 | Jennifer Jacqueline Lula, DO 44201 Dequindre Rd Ste Ec, Troy, MI 48085-1117 Ph: (248) 964-5111 |
David Donaldson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Ec, Troy, MI 48085 Phone: 248-964-8787 | |
Philip O Kilanowski-doroh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5111 | |
Matthew Christensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd Ste Ec, Troy, MI 48085 Phone: 248-964-5111 | |
Rebecca Gorz, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5111 | |
Cristina Geneva Bruno, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Adam Sylvester Kur Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Ec, Troy, MI 48085 Phone: 248-964-5000 | |
Stephen M. Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd Ste Ec, Troy, MI 48085 Phone: 248-964-5111 |