Stephen R Lull, MD - Pediatrics in Portage, MI

Stephen R Lull, MD is a Pediatrics physician based in Portage, Michigan. Stephen R Lull is licensed to practice in Michigan (license number SL033924) and his current practice location is 670 Mall Dr, Portage, Michigan. He can be reached at his office (for appointments etc.) via phone at (269) 327-1900.

NPI number for Stephen R Lull is 1952371593 and his current mailing address is 670 Mall Dr, Portage, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952371593.

Contact Information

Stephen R Lull, MD
670 Mall Dr,
Portage, MI 49024-2878
(269) 327-1900
(269) 327-1564



Physician's Profile

Full NameStephen R Lull
GenderMale
SpecialityPediatrics
Location670 Mall Dr, Portage, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952371593
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Stephen R Lull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952371593NPI-NPPES
2999119MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics SL033924 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen R Lull is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephen R Lull, MD
670 Mall Dr,
Portage, MI 49024-2878

Ph: (269) 327-1900
Stephen R Lull, MD
670 Mall Dr,
Portage, MI 49024-2878

Ph: (269) 327-1900

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› Verified 8 days ago


Pediatrics Doctors in Portage, MI

Sara Ehlke-bejcek, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2680 W Centre Ave, Portage, MI 49024
Phone: 269-324-2400    Fax: 269-324-0450
Linda Garrison,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8001 Angling Rd, Portage, MI 49024
Phone: 269-329-0944    
Dr. Anthony J Van Es, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5082 Lovers Ln, Portage, MI 49002
Phone: 269-381-0118    Fax: 269-381-4610
Dr. Elena Jean Lewis, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1324 W Milham Ave, Suite 1, Portage, MI 49024
Phone: 269-342-0196    Fax: 269-342-0532
Thomas R Akland, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8001 Angling Rd, Portage, MI 49024
Phone: 269-329-0944    
Julie Elias, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2680 W Centre Ave, Portage, MI 49024
Phone: 269-324-2400    Fax: 269-324-0450
Sandra Wiederhold, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 670 Mall Dr, Portage, MI 49024
Phone: 269-327-1900    

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