NPI 1073807301

Laurie B Fowler

Organisation Specialist Columbia, MO

Practice location

Address: 1506 Chapel Hill Rd STE G, Columbia, MO 65203-5504
Phone: (573) 474-9302
Fax: (573) 474-8299

Authorised official

Name: Laurie B Fowler
Title: Owner
Phone: (573) 474-9302

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MD103556 (MO)

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Registry record

NPI: 1073807301
Entity type: Organization
NPI issued: 3 Jun 2011
Record last updated: 3 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.