Lulloff, Sarah Jane

Lulloff, Sarah Jane is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Lulloff, Sarah Jane can be contacted via phone (920) 433-0111.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Phone: (920) 433-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 41845 Wisconsin

Profile Details

NPI number 1215953062
LBN Legal business name Lulloff, Sarah Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215953062 NPPES
Wisconsin MEDICAID 34304800

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