Individual
DR. LYNN R BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 W SOUTH ST, LAGRANGE, IN 46761-2233
(260) 463-7006
(260) 463-4135
Mailing address
210 W SOUTH ST, LAGRANGE, IN 46761-2233
(260) 463-7006
(260) 463-4135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8550
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200956730A
—
IN
Enumeration date
04/13/2006
Last updated
11/24/2010
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