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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOURDES SOFIA FULCOMER, FNP

Active Sole Proprietor

LOURDES SOFIA FULCOMER, FNP is a Nurse Practitioner healthcare provider located in ALEXANDRIA BAY, New York. NPI 1770268757 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · ALEXANDRIA BAY, NY

Registration Details

NPI Number
1770268757
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2023 (3.1177940242103 yrs)
Last Updated
Jun 19, 2023
Licenses
803858 (NY)
351959 (NY)
Sole Proprietor
Yes

Practice Information

Address
4 FULLER ST
ALEXANDRIA BAY, NY, 136071391
Browse NY providers · Browse ZIP 13607
Phone
3154821125
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in ALEXANDRIA BAY, NY

Name Credential NPI
CYNTHIA LEE SIMPSON NP 1265438824
MRS. DEBORAH M. MACSHERRY CFNP 1669407300
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.