| Dr Lauren Alexandra Fanning, DPT | |
|
1991 Fordham Dr Ste 102, Fayetteville, NC 28304-3774 | |
| (910) 484-4653 | |
| (910) 483-9256 |
| Full Name | Dr Lauren Alexandra Fanning |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1991 Fordham Dr Ste 102, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699559401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P22615 (North Carolina) | Primary |
| Provider Name | Cumberland County Hospital System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Provider Name | Proactive Therapy Of North Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lauren Alexandra Fanning, DPT 2817 Rock Merritt Ave, Fayetteville, NC 28310-3774 Ph: (910) 907-8922 | Dr Lauren Alexandra Fanning, DPT 1991 Fordham Dr Ste 102, Fayetteville, NC 28304-3774 Ph: (910) 484-4653 |
Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295 | |
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 | |
Michael Andrew Slack, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1712 Owen Dr, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302 | |
Bridget Maley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311 Phone: 910-868-6000 | |
Matthew Gregory Prindle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302 | |
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552 |