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Individual

MRS. LENNI FUGAZY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104242
FL
363AS0400X
Surgical Physician Assistant
Primary
085002149
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1633878
BCBS PPO
IL
05
292866300
FL
01
P00990032
RR MEDICARE
IL
Enumeration date
05/23/2006
Last updated
01/12/2021
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