Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas Lance Fulghum, MD

Individual provider Family Medicine Physician · NPI 1760226716

Dr. Thomas Lance Fulghum, MD is a Family Medicine Physician in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3021 Voyager Dr
Green Bay, WI 54311-8303
Phone: (920) 431-1810
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 101347-851 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125-084945 (IL)

Record details

NPI number1760226716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing addressPo Box 19070, Green Bay, WI 54307-9070

Other providers in Green Bay