Mckernan Pulliam, Melissa Lynn

Mckernan Pulliam, Melissa Lynn is an individual health care provider with primary practice located at 217 Harrisburg Ave The Heart Group Of Lghealth, Lancaster PA 17603-2964. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Mckernan Pulliam, Melissa Lynn can be contacted via phone (717) 544-8300.

Contact Information

Primary practice address
217 Harrisburg Ave The Heart Group Of Lghealth Lancaster PA 17603-2964
Fax: (717) 544-8265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD072799L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD072799L Pennsylvania

Profile Details

NPI number 1053388694
LBN Legal business name Mckernan Pulliam, Melissa Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jan 30th, 2015 - about 9 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 1053388694 NPPES
Pennsylvania MEDICAID 1012686220001

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