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NPI Code Detail

MEDICARE: LISA BOWE

MEDICARE: LISA BOWE
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
1183500000XPharmacistA1-0003725DE

General Provider Information

NPI Number : 1568824035
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA BOWE
Provider Business Mailing Address
First Line : 128 LANTANA DR
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-8800
Country : US
Telephone Number : 302-234-9004
Fax Number :
Provider Business Practice Location Address
First Line : 128 LANTANA DR
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-8800
Country : US
Telephone Number : 302-234-9004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2016
Last Update Date : 03/24/2016

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Directions to “ LISA BOWE ” Practice Location

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