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NPI Code Detail

MEDICARE: LAUREN FOWLER NP

MEDICARE: LAUREN FOWLER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN218432GA
2363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-126175MT

General Provider Information

NPI Number : 1851780688
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN FOWLER NP
Provider Business Mailing Address
First Line : 120 BAYBERRY LN
Second Line :
City : HAMILTON
State : MT
Zip : 59840-3634
Country : US
Telephone Number : 770-380-9770
Fax Number :
Provider Business Practice Location Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 406-541-0032
Fax Number : 406-541-0037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2015
Last Update Date : 07/18/2019

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Directions to “ LAUREN FOWLER NP” Practice Location

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