DR. CHARLES R LULL MD NPI 1790849180

NPI Information

NPI: 1790849180
Provider Name: DR. CHARLES R LULL, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
935 WAYNE RD
SAVANNAH, TN
ZIP 38372
Phone: (504) 889-0347
Get Directions

DR. Charles R Lull, MD is a diagnostic radiology radiology in Savannah, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Charles R Lull, MD NPI is 1790849180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

935 WAYNE RD
SAVANNAH, TN
ZIP 38372-937
Phone: (504) 889-0347
Fax: (504) 779-9741

The enumeration date for this NPI number is 12/20/2006 and was last updated on 11/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD0000007740	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E95710	MEDICARE UPIN	TENNESSEE
2	000000118528	OTHER	TENNESSEE	UNISON HEALTH PLAN
3	132751	OTHER	TENNESSEE	FEDERAL BLACK LUNG
4	1640237	OTHER	TENNESSEE	UNITED HEALTHCARE
5	5001678	OTHER	TENNESSEE	MEMPHIS MANAGED CARE TLC
6	3093872	MEDICAID	TENNESSEE
7	300067251	OTHER	TENNESSEE	RAILROAD MEDICARE
8	3029154	OTHER	TENNESSEE	BLUE CROSS
9	3093872	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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