Individual
LISA COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-2975
(919) 681-8267
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2016-00170
NC
207W00000X
Ophthalmology Physician
254884
MA
Other
Enumeration date
04/04/2012
Last updated
11/10/2021
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