Individual
LUCAS BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(440) 315-5522
Mailing address
1278 W 9TH ST APT 825, CLEVELAND, OH 44113-1071
(440) 315-5522
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.004396
OH
Other
Enumeration date
08/19/2015
Last updated
08/20/2015
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