Individual
LINDSEY HOPKINS BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-AA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 354-3666
(706) 543-5744
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006987
GA
367H00000X
Anesthesiologist Assistant
110
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140116A
—
GA
01
—
003140116B
MEDICAID
GA
05
—
1841632486
—
WI
Enumeration date
07/24/2013
Last updated
04/08/2020
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