Fuquay, Lori Dillard

Fuquay, Lori Dillard is an individual health care provider with primary practice located at 520 Douglas Blvd , Tyler TX 75702-8307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fuquay, Lori Dillard can be contacted via phone (903) 606-1721.

Contact Information

Primary practice address
520 Douglas Blvd Tyler TX 75702-8307
Phone: (903) 606-1721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 131861 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 811726 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP120850 Texas

Profile Details

NPI number 1407990872
LBN Legal business name Fuquay, Lori Dillard
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407990872 NPPES
Texas Other 1X7132 MEDICARE

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