Destiny A Fowlkes

NPI #1356089734 in Lincoln, Nebraska

Provider Information

NPI Number: 1356089734
Entity Type: Individual
Name: Destiny A Fowlkes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: May 25, 2022
Last Updated: May 25, 2022

Practice Location

Address: 5905 O ST
City: Lincoln
State: Nebraska
ZIP Code: 68510-2235
Phone: (402) 436-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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