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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265756696 | NPPES |
Mississippi | MEDICAID | O1056034 |
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