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Individual

MRS. BONNIE LYNN GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3 HOSPITAL DR, SUITE 312, LEWISBURG, PA 17837-9362
(570) 523-8700
(570) 523-8705
Mailing address
3 HOSPITAL DR, SUITE 312, LEWISBURG, PA 17837-9362
(570) 523-8700
(570) 523-8705

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW010239
PA
367A00000X
Advanced Practice Midwife
72000123A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000577790
BCBS
IN
05
200857240
IN
05
4088840-10
MI
Enumeration date
11/09/2005
Last updated
07/09/2014
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