| Dr Lullaby LLC | |
|
9445 Indianapolis Blvd Highland IN 46322-2648 | |
| (844) 475-3379 | |
| Not Available |
| Full Name | Dr Lullaby LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 9445 Indianapolis Blvd, Highland, Indiana |
| Authorized Official Name and Position | Lisa Ann Medalie (CEO) |
| Authorized Official Contact | 6199975759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lullaby LLC 1440 W Taylor St Ste 556 Chicago IL 60607-4623 | Dr Lullaby LLC 9445 Indianapolis Blvd Highland IN 46322-2648 Ph: (844) 475-3379 |
| NPI Number | 1679289615 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 9931507290 |
|---|---|
| Medicare Enrollment ID | O20230331002051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679289615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (NU) | Secondary |
| 261Q00000X | Clinic/center | (NU) | Primary |
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