Individual
LOWELL R FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-8822
(573) 341-5969
Mailing address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-8822
(573) 341-5969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101006129
MI
Other
Enumeration date
08/16/2005
Last updated
11/20/2009
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