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NPI Code Detail

MEDICARE: MS. LAUREN ELIZABETH BOWERS LCSW

MEDICARE: MS. LAUREN ELIZABETH BOWERS LCSW
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
11041C0700XClinical Social Worker34008921AIN
2104100000XSocial Worker2400081317IN

General Provider Information

NPI Number : 1740713726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN ELIZABETH BOWERS LCSW
Provider Business Mailing Address
First Line : 11051 FALLS CHURCH DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-2096
Country : US
Telephone Number : 317-332-7675
Fax Number :
Provider Business Practice Location Address
First Line : 11051 FALLS CHURCH DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-2096
Country : US
Telephone Number : 317-332-7675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 04/06/2026

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