Individual
LORAIN LYNN BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.129791
Contact information
Practice address
117 N 4TH ST, IRONTON, OH 45638-1403
(740) 237-4981
Mailing address
117 N 4TH ST, IRONTON, OH 45638-1403
(740) 237-4981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.174005
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.129791
OH
163WC0400X
Case Management Registered Nurse
RN.129791
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN.129791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403787
—
OH
Enumeration date
05/18/2020
Last updated
01/23/2021
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