Individual
DR. LANCE M GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 RIVERCROSSING DR STE 180, FORT MILL, SC 29715-7900
(803) 547-7541
(803) 548-0122
Mailing address
1101 N 10TH ST, BEATRICE, NE 68310-2001
(402) 228-3436
(402) 223-4515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15208
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065527613
—
NE
Enumeration date
02/07/2006
Last updated
03/17/2018
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