Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavalle Deprice Bullard

Individual provider Case Manager/Care Coordinator · NPI 1205124039

Lavalle Deprice Bullard is a Case Manager/Care Coordinator in Moreno Valley, California. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

13800 Heacock St Ste C236
Moreno Valley, CA 92553-3339
Phone: (951) 653-0819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1205124039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 13, 2011
Last updated in NPPESMay 16, 2012

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