Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E5651 | CA |
NPI | 1063944049 |
---|---|
Provider Name | Laura Poindexter Rowe |
First Address | Fresno, CA 93710-5266 |
Second Address | Fresno, CA 93710-5266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2017 |
Last Update Date | 31/03/2021 |