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
Phone: (703) 391-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598734873 | NPPES |
| Washington | MEDICAID | 1056511 | |
| Washington | Other | 192810 |
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