Individual
DR. DAVID LAUREN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
215 LAUCHWOOD DR STE A, LAURINBURG, NC 28352-4647
(910) 276-1993
(910) 462-3081
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1363
NC
152W00000X
Optometrist
OPT001274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0935G
BCBS INDIVIDUAL NUMBER
NC
05
—
890935G
—
NC
Enumeration date
05/31/2006
Last updated
05/02/2024
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