Fuqua, Lori
Fuqua, Lori is an individual health care provider with primary practice located at 3277 Liberty Blvd # A , Boonville IN 47601-9659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fuqua, Lori can be contacted via phone (812) 897-8500.Contact Information
Primary practice address
3277 Liberty Blvd # A
Boonville IN 47601-9659
Phone: (812) 897-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01036109A | Indiana |
Profile Details
| NPI number | 1215918867 |
|---|---|
| LBN Legal business name | Fuqua, Lori |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Oct 5th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215918867 | NPPES |
| Indiana | MEDICAID | 200526160 |
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