Individual
LACY BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
Mailing address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-161411-091
KS
363LF0000X
Family Nurse Practitioner
Primary
53-83957-091
KS
Other
Enumeration date
01/08/2025
Last updated
02/07/2025
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