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Individual

LAURA M GOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
614 DELAWARE AVE, PALMERTON, PA 18017
(484) 822-5320
Mailing address
128 MABEL LN, EFFORT, PA 18330-7792
(570) 236-9296

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MA061606
PA
363A00000X
Physician Assistant
Primary
MA061606
PA

Other

Enumeration date
10/12/2020
Last updated
09/18/2024
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