Individual
MS. LORI ANN FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
317 E MAIN ST, WILMORE, KY 40390-1323
(859) 858-0339
(859) 858-0341
Mailing address
1306 VERSAILLES RD, 120, LEXINGTON, KY 40504-1796
(859) 259-2635
(859) 254-7874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005740
KY
363LW0102X
Women's Health Nurse Practitioner
3005740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100176280
—
KY
Enumeration date
10/03/2008
Last updated
10/27/2018
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