Individual
LAURYN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 580-4242
Mailing address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
35.138525
OH
208000000X
Pediatrics Physician
Primary
35.138525
OH
Other
Enumeration date
04/17/2018
Last updated
12/27/2022
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