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Individual

DR. LUCIAN FULGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9100 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-3415
(877) 801-6325
(877) 801-6325
Mailing address
9100 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-3415
(877) 801-6325
(877) 801-6325

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
12640
CA
225XP0200X
Pediatric Occupational Therapist
Primary
4975
AZ

Other

Enumeration date
12/09/2011
Last updated
08/14/2014
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