NPI

Lourdes Sofia Fulcomer

NPI 1770268757

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
FNP-c
Type
Individual
Enumeration date
2023-06-19
Last updated
2026-07-21

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Specialties

Licenses

License AL
3-002843
License TN
41315
License NY
315959
License NY
803858
License TN
185414

Location

Practice location
606a Boll Weevil Cir
City
Enterprise AL
Postal code
36330-2734
Phone
(334) 475-2462

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Enterprise, AL. 683 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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