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NPI Code Detail

MEDICARE: LAURN BOWER

MEDICARE:   LAURN  BOWER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist31008677AIN

General Provider Information

NPI Number : 1568320430
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURN BOWER
Provider Business Mailing Address
First Line : 221 W WHITLEY ST
Second Line :
City : CHURUBUSCO
State : IN
Zip : 46723-1719
Country : US
Telephone Number : 260-999-3666
Fax Number :
Provider Business Practice Location Address
First Line : 2827 NORTHGATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-2900
Country : US
Telephone Number : 260-492-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ LAURN BOWER ” Practice Location

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