Individual
DR. LYNN C FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5230 HIGHWAY 80 E, PEARL, MS 39208-8921
(601) 932-1070
(601) 932-9020
Mailing address
PO BOX 1526, BRANDON, MS 39043-1526
(601) 932-1070
(601) 932-9020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1026
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05530814
—
MS
Enumeration date
09/29/2006
Last updated
07/09/2007
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