Fusco, Lawrence J

Fusco, Lawrence J is an individual health care provider with primary practice located at 1818 Richardson Dr , Reidsville NC 27320-5451. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fusco, Lawrence J can be contacted via phone (336) 349-5040.

Contact Information

Primary practice address
1818 Richardson Dr Reidsville NC 27320-5451
Phone: (336) 349-5040
Fax: (336) 369-5366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9701362 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9701362 North Carolina

Profile Details

NPI number 1700868890
LBN Legal business name Fusco, Lawrence J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 9th, 2013 - about 11 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 1700868890 NPPES
North Carolina MEDICAID 891082F

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