Individual
DR. LORI J. FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1963 W MCDOWELL RD, JACKSON, MS 39204-4217
(601) 372-3632
(601) 372-7361
Mailing address
1963 W MCDOWELL RD, JACKSON, MS 39204-4217
(601) 372-3632
(601) 372-7361
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11357
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00773211
—
MS
Enumeration date
09/27/2006
Last updated
07/24/2014
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