Individual
LALITA DEVONNE FULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 923, SCOTTSDALE, AZ 85252-0923
(602) 552-1082
Mailing address
PO BOX 923, SCOTTSDALE, AZ 85252-0923
(602) 552-1082
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5271105
FL
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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