Provider Demographics
NPI:1114975323
Name:BOWEN, LORRIE ANN (MHS, PA-C)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:ANN
Last Name:BOWEN
Suffix:
Gender:F
Credentials:MHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 BILTMORE AVENUE
Mailing Address - Street 2:ASHEVILLE GASTRENTEROLOGY ASSOCIATES, P.A.
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4109
Mailing Address - Country:US
Mailing Address - Phone:828-254-0881
Mailing Address - Fax:828-350-3628
Practice Address - Street 1:191 BILTMORE AVENUE
Practice Address - Street 2:ASHEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4109
Practice Address - Country:US
Practice Address - Phone:828-254-0881
Practice Address - Fax:828-350-3628
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50-000680363A00000X
NC0010-01730363A00000X
OH50.000680363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY95005443Medicaid
S57876Medicare UPIN
OHBOPA11379Medicare PIN
NC27600241Medicare PIN