Doctor Name: | MRS. LORA BETH BOWENS |
NPI Number: | 1609052364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC |
License Number: | 43053 |
Business Practice Address: | 1143 Dunbar Ave Dunbar, WV - 250643121 |
Business Phone Number: | 3047688523 |
Business Fax Number: | 3047688627 |
Mailing Address: | 28 Lee Dr, SAINT ALBANS |
State: | WV |
Postal Code: | 251773540 |
Phone Number: | 3048592993 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 01/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 43053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |