Enoch Busulwa Lule
Internist Neurosurgeon
1350 Walton Way
Augusta
, Georgia 30901-2612
Enoch Busulwa Lule
Internist Neurosurgeon
1350 Walton Way
Augusta
, Georgia 30901-2612
(951) 781-0365
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About
Features
Specialties
- Internist
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Enoch Busulwa Lule
- 4234 Riverwalk Pkwy Ste 230
- Riverside, CA
- Zip : 92505-3312
- Fax : (951) 781-0365
- Phone : (951) 781-3672
Second Address
- Enoch Busulwa Lule
- 1350 Walton Way
- Augusta, GA
- Zip : 30901-2612
- Fax : (706) 774-5789
- Phone : (706) 774-5542
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | C145705 | CA |
| N | 111NI0900X | Internist | C145705 | CA |
| Y | 207T00000X | Neurosurgeon | C145705 | CA |
National Provider Identifier
| NPI | 1013147107 |
|---|---|
| Provider Name | Enoch Busulwa Lule |
| First Address | Riverside, CA 92505-3312 |
| Second Address | Augusta, GA 30901-2612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2009 |
| Last Update Date | 01/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.