Lisa Bowen, PHDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

PHDH001369 Issued in PA

Practice address

2888 Sr 29 S
Monroe Township, PA 18636-7854

Phone

(570) 704-4647

NPI assigned

May 2, 2023

Last updated

May 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1073202420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SUSQUEHANNA AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044912",
            "telephone_number": "570-446-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 SR 29 S",
            "city": "MONROE TOWNSHIP",
            "state": "PA",
            "postal_code": "186367854",
            "telephone_number": "570-704-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LISA",
        "credential": "PHDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH001369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Butler Vamc
• Gwendolyn Galasso, M.D.
• Yasser Iskandarani, DMD
• Hemali B Javia, D.D.S.
• Martin D McMahon, D.M.D.

• Dental Hygienist in Monroe Township, PA
• Providers in Monroe Township, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.