Individual
LAURA ANN FRUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2560 KING ARTHUR BLVD STE 124, LEWISVILLE, TX 75056-5818
(972) 999-5265
(972) 899-0362
Mailing address
1341 W MOCKINGBIRD LN, SUITE 240E, DALLAS, TX 75247-6913
(214) 638-6600
(214) 638-6618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
604766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188538601
—
TX
05
—
188538602
—
TX
05
—
188538603
—
TX
05
—
188538604
—
TX
05
—
188538605
—
TX
01
—
5276070-1
LICENSE
NY
01
—
607766
LICENSE
TX
Enumeration date
09/14/2006
Last updated
04/13/2012
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