Healthcare Provider Details

I. General information

NPI: 1730427808
Provider Name (Legal Business Name): DAWN CARLA BOWER IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 W AVENUE L12 STE 103
LANCASTER CA
93534-7089
US

IV. Provider business mailing address

42708 35TH ST W
LANCASTER CA
93536-4107
US

V. Phone/Fax

Practice location:
  • Phone: 661-916-1290
  • Fax: 661-249-6355
Mailing address:
  • Phone: 661-916-1290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number144499
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: