National Provider Identifier
Lucas Michael Fowler, MD
Lucas Michael Fowler, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5168.
Profile Overview
- NPI
- 1891372223
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 24, 2021
- Last Updated
- July 27, 2024
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-5168
Mailing Address
- 21 Elmcroft RD
- Rochester, NY 14609-7738
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Orthopaedic Surgery Physician (207X00000X)
Full Record
- NPI
- 1891372223
- Entity Type
- Individual
- Last Name
- Fowler
- First Name
- Lucas
- Middle Name
- Michael
- Credential
- MD
- Mailing Street Address
- 21 Elmcroft RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-7738
- Mailing Country
- US
- Mailing Phone
- (262) 751-6335
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5168
- Enumeration Date
- March 24, 2021
- Last Updated
- July 27, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- July 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Orthopaedic Surgery Physician (207X00000X)