Organization
MICHELLE LACY BOWMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LACY BOWMAN (LPN)
(419) 984-6680
Entity
Organization
Contact information
Practice address
2526 HEATHERWYCK CT, TOLEDO, OH 43614-4507
(419) 984-6680
Mailing address
2526 HEATHERWYCK CT, TOLEDO, OH 43614-4507
(419) 984-6680
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN156021-M-IV
OH
Other
Enumeration date
06/21/2015
Last updated
06/21/2015
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