Individual
DR. LOURDES SOFIA FULCOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
606A BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2734
(334) 475-2462
Mailing address
606A BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2734
(334) 475-2462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185414
TN
163W00000X
Registered Nurse
803858
NY
363L00000X
Nurse Practitioner
Primary
351959
NY
363LF0000X
Family Nurse Practitioner
Primary
3-002843
AL
363LF0000X
Family Nurse Practitioner
315959
NY
363LF0000X
Family Nurse Practitioner
41315
TN
Other
Enumeration date
06/19/2023
Last updated
07/21/2026
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