Lou Ann Bowen, CRNA
Individual provider Active NPI Anesthesiology Physician · Montgomery, WV
NPI 1295809507 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295809507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 23413 (WV)
- Practice address
- 401 6TH Ave
Montgomery, WV 25136-0270 - Phone
- (304) 442-1331
- Fax
- (304) 442-1324
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 23413 | WV | Yes |
Addresses
Primary practice location
401 6TH Ave
Montgomery, WV 25136-0270
Mailing address
316 6TH Avenue
Montgomery, WV 25136-0270
Phone (304) 442-4954
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066341000 | Medicaid | WV |
Other providers in Montgomery, WV
- Alexander McKinney Ball
- Ignacio Z. Bernardo Jr.
- Ravin Bhirud
- Bio-Medical Applications of West Virginia, Inc.
- Virginia Rose Blosser
- Madeline Wilson Burns
- Patricia Michelle Clark
- Coal Valley Physicians Inc
- Beverly Comer
- Jessica Jane Cox
All providers in Montgomery, WV · Anesthesiology Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.