Individual
LINDSEY R BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459
(937) 208-8394
(937) 208-8388
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003570
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093791
—
OH
Enumeration date
10/18/2012
Last updated
04/20/2023
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