Provider Demographics
NPI:1083694186
Name:BOWLING, LESTER SHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:SHAWN
Last Name:BOWLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:321 SOUTH FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506
Mailing Address - Country:US
Mailing Address - Phone:850-474-8546
Mailing Address - Fax:850-456-7222
Practice Address - Street 1:321 SOUTH FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506
Practice Address - Country:US
Practice Address - Phone:850-474-8546
Practice Address - Fax:850-456-7222
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME72312207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease