Joseph Bradley Mulligan, LDO
Joseph Bradley Mulligan, LDO is an Optician in LA Grange, Kentucky. Practices as a sole proprietor. Licensed in California and Kentucky.
- Licensed in
- CA, KY
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
1015 New Moody LnLA Grange, KY 40031-9142
Phone: (502) 222-5292
Fax: (502) 222-5274
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 111891 (KY) |
|---|---|
| Optician | Taxonomy 156FX1800X · Licence SLD41354 (CA) |
| Optician | Taxonomy 156FX1800X · Licence CLD8386 (CA) |
Record details
| NPI number | 1558091173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2022 |
| Last updated in NPPES | June 15, 2022 |
| Certification date | June 15, 2022 |
Other providers in LA Grange
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Donna Jane Owens
1015 New Moody Ln, LA Grange, KY 40031-9142 · (502) 222-2592
-
Wal-Mart Stores East, LP
1015 New Moody Ln, LA Grange, KY 40031-9142 · (502) 222-4260
-
Pamela Wilson
1015 New Moody Ln, LA Grange, KY 40031-9142 · (502) 222-5292