National Provider Identifier

Lawana Fuquay

Lawana Fuquay is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 663-1624.

NPI 1659461747Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1659461747
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 728 Ridge RD E
  • Rochester, NY 14621-1719

Phone: (585) 663-1624

Mailing Address

  • 415 N Grand Ave
  • Pueblo, CO 81003-3111

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1659461747
Entity Type
Individual
Last Name
Fuquay
First Name
Lawana
Mailing Street Address
415 N Grand Ave
Mailing City
Pueblo
Mailing State
CO
Mailing ZIP Code
81003-3111
Mailing Country
US
Mailing Phone
(719) 546-3333
Practice Street Address
728 Ridge RD E
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1719
Practice Country
US
Practice Phone
(585) 663-1624
Enumeration Date
October 13, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)