Individual
SARAH LYNNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 472-8604
Mailing address
56 KESLAR AVE, LYNN, MA 01905-1414
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
258694
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
258694
MA
Other
Enumeration date
01/18/2007
Last updated
08/28/2007
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