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Laurie Dowell
Prosthetic/Orthotic Supplier in Tyler, Texas
NPI 1447250055

Laurie Dowell is a Prosthetic/Orthotic Supplier based in Tyler, TX. Laurie Dowell practices in Tyler, TX. The NPI Number for Laurie Dowell is 1447250055 and holds a License No. 466 (Texas).

The current practice location address for Laurie Dowell is 704 S Bois D Arc Ave, Tyler, TX and can be reached out via phone at 903-592-4737 and via fax at 903-535-9028.

Location: 704 S Bois D Arc Ave, Tyler, TX, 75701-8337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447250055
Provider Name
Laurie Dowell
Credential
Provider Entity Type
Organization
Address
704 S Bois D Arc Ave, Tyler, TX, 75701-8337
Phone Number
903-592-4737
Fax Number
903-535-9028
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1637571 05 TX
$$$$$$$$$ 01 TX SSN #
institution
Provider Business Practice Location Address Details
Address
704 S Bois D Arc Ave
City
Tyler
State
Texas
Zip
75701-1503
Phone Number
903-592-4737
Fax Number
903-535-9028
person
Provider Business Mailing Address Details
Address
704 S Bois D Arc Ave
City
Tyler
State
Texas
Zip
75701-1503
Phone Number
903-592-4737
Fax Number
903-535-9028
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
466 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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