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NPI Code Detail

MEDICARE: LORNA OLIVIA BOWLES

MEDICARE:   LORNA OLIVIA BOWLES
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1578351615
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORNA OLIVIA BOWLES
Provider Business Mailing Address
First Line : 3200 E EISENHOWER PKWY
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-3231
Country : US
Telephone Number : 734-677-0070
Fax Number : 734-677-0809
Provider Business Practice Location Address
First Line : 3200 E EISENHOWER PKWY
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-3231
Country : US
Telephone Number : 734-677-0070
Fax Number : 734-677-0809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2025
Last Update Date : 02/17/2026

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Directions to “ LORNA OLIVIA BOWLES ” Practice Location

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