Individual
MRS. LOU ANN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-0270
(304) 442-1331
(304) 442-1324
Mailing address
316 6TH AVENUE, MONTGOMERY, WV 25136-0270
(304) 442-4954
(304) 442-1324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23413
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066341000
—
WV
Enumeration date
11/20/2006
Last updated
07/08/2007
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