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Organization

LAWRENCE P BOWEN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE P BOWEN MD (PRESIDENT)
(401) 331-4140
Entity
Organization

Contact information

Practice address
235 PLAIN ST, SUITE 304, PROVIDENCE, RI 02905-3241
(401) 331-4140
(401) 331-0410
Mailing address
235 PLAIN ST, SUITE 304, PROVIDENCE, RI 02905-3241
(401) 331-4140
(401) 331-0410

Taxonomy

Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
RI5305
RI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
RI5305
RI
2086S0105X
Surgery of the Hand (Surgery) Physician
RI5305
RI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
RI5305
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300042
BLUE CHIP
RI
01
30202009
MASS BCBS
MA
01
4000248
NEIGHBORHOOD HEALTH
RI
05
9000759
RI
Enumeration date
02/02/2006
Last updated
10/26/2007
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