LISA P GOWAN

DOTHAN, AL
NPI1265756696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AL  1-056034)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: AL  1-056034)
Enumeration Date2010-03-14
Last Update Date2015-05-05
Business Address
-- LISA P GOWAN CNM
104 MEDICAL DR
DOTHAN, AL 36303-6902
Phone number: 334-671-9445
Mailing Address
-- LISA P GOWAN CNM
211 JOHNTOWN RD
OZARK, AL 36360-7517
Phone number: 334-237-4644