MEDICARE: MADELYNN LACI FOUGERE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1912842774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYNN LACI FOUGERE

Provider Business Mailing Address
First Line	:	3237 SADDLEWOOD CIR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-4346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1229 38TH AVE N # 391
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-1313
Country	:	US
Telephone Number	:	720-600-8434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

Similar Medicare Providers

1053256628 — BRITTANY DANIELLE CARROLL
Practice Location Address:

1229 38TH AVE N # 391
MYRTLE BEACH, SC
29577-1313

Practice Phone: 855-832-6727
Practice Fax:

1760324735 — EMERGEORTHO PA
Practice Location Address:

1205 38TH AVE N # 1209
MYRTLE BEACH, SC
29577-1313

Practice Phone: 910-332-3800
Practice Fax: 910-251-0421

1255332045 — TERESA MARIE NEALEY DC
Practice Location Address:

1259 38TH AVE N
MYRTLE BEACH, SC
29577-1313

Practice Phone: 843-605-1600
Practice Fax:

1396889697 — AFFORDABLE DENTURES - MYRTLE BEACH, LL, P.C.
Practice Location Address:

1267 38TH AVE N , SPACE 219
MYRTLE BEACH, SC
29577-1313

Practice Phone: 843-448-3810
Practice Fax:

1982726667 — DR. JAMES K THORNTON DMD
Practice Location Address:

1267 38TH AVE N UNIT 219
MYRTLE BEACH, SC
29577-1313

Practice Phone: 843-448-3810
Practice Fax:

1346451119 — DENTAL MANAGEMENT SERVICES, INC.
Practice Location Address:

1261 38TH AVE N
MYRTLE BEACH, SC
29577-1313

Practice Phone: 843-448-5757
Practice Fax:

Directions to “ MADELYNN LACI FOUGERE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.