Lance R Fuller (NPI# 1720272073, PAC ID# 6709192016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1720272073 |
| PAC ID by PECOS | 6709192016 |
| Professional Enrollment ID | I20150901003137 |
| Full Name | Lance R Fuller |
| Organization Legal Name | LLD LABORATORIES LLC |
| Address |
249 E Nc Hwy 54 Suite 310 Durham NC 27713-2490 |
| Phone Number | 9197531080 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 4981992468 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 | 9197531080 | LLD LABORATORIES LLC |
| Organization Legal Name | LLD LABORATORIES LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent A Izediuno | Psychiatry | Lld Laboratories LLC | 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 |
| William Thomas Trost | Psychiatry | Lld Laboratories LLC | 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 |
| Kavithamani Mallan | Nurse Practitioner | Lld Laboratories LLC | 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 |
| Camille M Henry | Internal Medicine | Lld Laboratories LLC | 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 |
| Sarah Elizabeth Beatty | Physician Assistant | Lld Laboratories LLC | 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 |
| Street Address |
249 E NC HWY 54 SUITE 310 |
| City | DURHAM |
| State | NC |
| Zip | 27713-2490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren J Krajewski | Physical Therapy | Emergeortho Pa | 249 E Nc Hwy 54, Durham, NC 27713-7512 |
| Erin Elise Johnson Lewis | Clinical Social Worker | B and D Integrated Health Services | 249 E Nc Hwy 54, Suite 320, Durham, NC 27713-2490 |
| Eric O'neill | Clinical Social Worker | B and D Integrated Health Services | 249 E Nc Hwy 54, Suite 320, Durham, NC 27713-2490 |
| Vincent A Izediuno | Psychiatry | Lld Laboratories LLC | 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 |
| Lauren E Durant | Psychologist, Clinical | B and D Integrated Health Services | 249 E Nc Hwy 54, Suite 320, Durham, NC 27713-2490 |
| Samonia D Lay | Clinical Social Worker | B and D Integrated Health Services | 249 E Nc Hwy 54, Suite 320, Durham, NC 27713-2490 |
| William Thomas Trost | Psychiatry | Lld Laboratories LLC | 249 E Nc Hwy 54, Suite 310, Durham, NC 27713-2490 |
| Samantha Jo Gabriele | Clinical Social Worker | B and D Integrated Health Services | 249 E Nc Hwy 54, Suite 320, Durham, NC 27713-2490 |
| Denise Littles Michel | Psychiatry | B and D Integrated Health Services | 249 E Nc Hwy 54, Suite 320, Durham, NC 27713-2490 |
| Daniel G Merke | Physical Therapy | Emergeortho Pa | 249 E Nc Hwy 54, Durham, NC 27713-7512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina Kaye Hightower | Clinical Social Worker | 3201 Yorktown Ave, Suite 117e, Durham, NC 27713-1474 | |
| Andrea Gilroy | Podiatry | Doctors Making Housecalls Geriatric Medicine Pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Kevin Mikus | Family Medicine | Doctors Making Housecalls Family Medicine,pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Thalia N Williams | Nurse Practitioner | Doctors Making Housecalls Psychiatric Medicine,pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Kayleigh Marie Leonard | Nurse Practitioner | Doctors Making Housecalls Internal Medicine Pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| David S Rodgers | Clinical Social Worker | Doctors Making Housecalls Psychiatric Medicine,pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Allison Marie Strahan | Physician Assistant | Doctors Making Housecalls Internal Medicine Pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Jeanine Sammons Bandini | Clinical Social Worker | Doctors Making Housecalls Psychiatric Medicine,pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Kathleen Christensen | Optometry | Doctors Making Housecalls Geriatric Medicine Pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Thomas E Meek | Family Medicine | Doctors Making Housecalls Family Medicine,pa | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 |
| Find all physicians in zip 27713 | |||
| City | DURHAM |
| Zip Code | 27713 |
| Specialty | PSYCHIATRY |
| City + Specialty | DURHAM + PSYCHIATRY |
Please comment or provide details below to improve the information on Lance R Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.