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NPI Code Detail

MEDICARE: MRS. LAUREN ELIZABETH BOWMAN PA-C

MEDICARE: MRS. LAUREN ELIZABETH BOWMAN PA-C
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
1363A00000XPhysician AssistantPA11752TX

General Provider Information

NPI Number : 1083102057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN ELIZABETH BOWMAN PA-C
Provider Business Mailing Address
First Line : PO BOX 35629
Second Line :
City : DALLAS
State : TX
Zip : 75235-0629
Country : US
Telephone Number : 214-424-2213
Fax Number : 214-231-2159
Provider Business Practice Location Address
First Line : 5236 W UNIVERSITY DR STE 3300
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-8121
Country : US
Telephone Number : 972-562-4430
Fax Number : 972-529-2763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 02/18/2025

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Directions to “ MRS. LAUREN ELIZABETH BOWMAN PA-C” Practice Location

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