Doctor Name: | DR. LYNN ELEANOR-JOHNSON GOWER |
NPI Number: | 1275708000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | DO28522 |
Business Practice Address: | 36000 Darnall Loop Carl R Darnall Army Medical Center Fort Hood, TX - 76544 |
Business Phone Number: | 5412312035 |
Business Fax Number: | |
Mailing Address: | 220 Dove Dr Se, SUBLIMITY |
State: | OR |
Postal Code: | 97385 |
Phone Number: | 5412312035 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DO28522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |