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NPI Code Detail

MEDICARE: LAUREN BOWEN

MEDICARE: LAUREN BOWEN
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 Assistant

General Provider Information

NPI Number : 1811829351
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BOWEN
Provider Business Mailing Address
First Line : 4380 MAIN ST
Second Line :
City : AMHERST
State : NY
Zip : 14226-3544
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4380 MAIN ST
Second Line :
City : AMHERST
State : NY
Zip : 14226-3544
Country : US
Telephone Number : 800-462-7652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ LAUREN BOWEN ” Practice Location

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