Provider Demographics
NPI:1003908088
Name:FOURRIER, LIONEL JOSEPH JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIONEL
Middle Name:JOSEPH
Last Name:FOURRIER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20727 NEW KENTUCKY VLG
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-8788
Mailing Address - Country:US
Mailing Address - Phone:281-255-8183
Mailing Address - Fax:936-372-2593
Practice Address - Street 1:2619 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484
Practice Address - Country:US
Practice Address - Phone:936-372-9157
Practice Address - Fax:936-372-2593
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13615122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist