Individual
DAVID FUCINARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2293
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2293
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO2025-0042
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2021
Last updated
04/09/2025
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