Individual
LISA D. BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 DRAPER AVE, NORTH ATTLEBORO, MA 02760-3604
(508) 695-9421
(508) 695-1341
Mailing address
170 DRAPER AVE, NORTH ATTLEBORO, MA 02760-3604
(508) 695-9421
(508) 695-1341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210905
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103678
UHC
—
05
—
0143669
—
MA
01
—
2090936002
CIGNA
MA
01
—
210905
TUFTS
MA
01
—
408535
RI BLUE CHIP
—
01
—
61946
FALLON
MA
01
—
711516
HPHC
MA
01
—
J24073
MABC
MA
Enumeration date
08/10/2006
Last updated
09/04/2014
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