Provider Demographics
NPI:1649516071
Name:DONEGAN-BOWMAN, LORNA
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:
Last Name:DONEGAN-BOWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 FLATLANDS 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4618
Mailing Address - Country:US
Mailing Address - Phone:347-512-3581
Mailing Address - Fax:
Practice Address - Street 1:10510 FLATLANDS 10TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4618
Practice Address - Country:US
Practice Address - Phone:347-512-3581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY555068163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse