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1215918867
LORI FUQUA
BOONVILLE, IN
NPI
1215918867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01036109a)
Enumeration Date
2005-11-10
Last Update Date
2022-10-05
Business Address
LORI FUQUA MD
3277 LIBERTY BLVD # A
BOONVILLE, IN 47601-9659
Phone number: 812-897-8500
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Mailing Address
LORI FUQUA MD
3277 LIBERTY BLVD # A
BOONVILLE, IN 47601-9659
Phone number:
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