Fowler, Lawrence J

Fowler, Lawrence J is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fowler, Lawrence J can be contacted via phone (703) 391-3600.

Contact Information

Primary practice address
3600 Joseph Siewick Dr Fairfax VA 22033-1709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD00043158 Washington
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD00043158 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101271261 Virginia

Profile Details

NPI number 1598734873
LBN Legal business name Fowler, Lawrence J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598734873 NPPES
Washington MEDICAID 1056511
Washington Other 192810

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