Individual
LAURIE B FOWLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1506 CHAPEL HILL RD, STE G, COLUMBIA, MO 65203-5504
(573) 234-2600
(573) 234-2622
Mailing address
PO BOX 852, COLUMBIA, MO 65205-0852
(573) 234-2600
(573) 234-2622
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD103556
MO
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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