Individual
DR. LORA CAITLYNN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3841 PIPER ST STE T-240, ANCHORAGE, AK 99508-4624
(907) 279-8800
Mailing address
3841 PIPER ST STE T-240, ANCHORAGE, AK 99508-4624
(907) 279-8800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198406
STATE AUDIOLOGY LICENSE
AK
Enumeration date
08/11/2022
Last updated
08/11/2022
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