Lori Fuqua, MD

NPI #1215918867 in Boonville, Indiana

Provider Information

NPI Number: 1215918867
Entity Type: Individual
Name: Lori Fuqua, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 10, 2005
Last Updated: Oct 5, 2022

Practice Location

Address: 3277 LIBERTY BLVD # A
City: Boonville
State: Indiana
ZIP Code: 47601-9659
Phone: (812) 897-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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