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Individual

LAWRENCE P BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
235 PLAIN ST, SUITE 304, PROVIDENCE, RI 02905-3240
(401) 331-4140
(401) 331-0410
Mailing address
235 PLAIN ST, SUITE 304, PROVIDENCE, RI 02905-3240
(401) 331-4140
(401) 331-0410

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
05305
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300042
BLUE CHIP
RI
01
30202009
MASS. BCBS
MA
01
4000248
NEIGHBORHOOD HEALTH
RI
05
9000759
RI
Enumeration date
11/13/2007
Last updated
11/13/2007
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