| Doctor Name: | LISA RENEE BOWERS |
| NPI Number: | 1306120902 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 372428 |
| Business Practice Address: | 57 Heart Ct Centerburg, OH - 430115700 |
| Business Phone Number: | 7403582560 |
| Business Fax Number: | |
| Mailing Address: | 57 Heart Ct, CENTERBURG |
| State: | OH |
| Postal Code: | 430115700 |
| Phone Number: | 7403582560 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2011 |
| NPI Last Update Date: | 10/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 372428 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |