Gowan, Lisa P

Gowan, Lisa P is an individual health care provider with primary practice located at 104 Medical Dr , Dothan AL 36303-6902. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gowan, Lisa P can be contacted via phone (334) 671-9445.

Contact Information

Primary practice address
104 Medical Dr Dothan AL 36303-6902
Phone: (334) 671-9445
Fax: (334) 671-0059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1-056034 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 1-056034 Alabama

Profile Details

NPI number 1265756696
LBN Legal business name Gowan, Lisa P
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2010
Last updated May 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265756696 NPPES
Mississippi MEDICAID O1056034

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