Individual
LISA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDH
Contact information
Practice address
2888 SR 29 S, MONROE TOWNSHIP, PA 18636-7854
(570) 704-4647
Mailing address
28 SUSQUEHANNA AVE, FORTY FORT, PA 18704-4912
(570) 446-3062
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH001369
PA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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