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Individual

LISA A BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1405 S ORANGE AVE, SUITE 400, ORLANDO, FL 32806-2154
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LN, SUITE 201, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME72092
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253744300
FL
01
42737
BCBS
FL
Enumeration date
06/24/2006
Last updated
05/02/2008
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