Individual
LISA P GOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
104 MEDICAL DR, DOTHAN, AL 36303-6902
(334) 671-9445
(334) 671-0059
Mailing address
211 JOHNTOWN RD, OZARK, AL 36360-7517
(334) 237-4644
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
1-056034
AL
367A00000X
Advanced Practice Midwife
Primary
1-056034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O1056034
—
MS
Enumeration date
03/14/2010
Last updated
05/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us