Individual
MS. LANE RAE BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 738-6355
(717) 738-6262
Mailing address
1994 QUAKER STATE RD, MONTOURSVILLE, PA 17754-8010
(570) 433-4466
(570) 484-2540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA-000391-L
PA
Other
Enumeration date
05/04/2007
Last updated
11/13/2008
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