Individual
LAWRENCE J FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 RICHARDSON DR, REIDSVILLE, NC 27320-5451
(336) 349-5040
(336) 369-5366
Mailing address
1818 RICHARDSON DR, REIDSVILLE, NC 27320-5450
(336) 349-5040
(336) 369-5366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9701362
NC
207R00000X
Internal Medicine Physician
Primary
9701362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891082F
—
NC
Enumeration date
11/15/2005
Last updated
07/09/2013
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