M.D. Lennon E. Bowen IV, NPI 1619919156
Neurology Physician in Vancleave, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1619919156
NPI Entity Type Individual
Provider Name M.D. Lennon E. Bowen IV
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6300 E Lake Blvd Ste 201, Vancleave, MS, US
Provider Mailing Address 6300 E Lake Blvd Ste 301, Vancleave, MS, US, 395656771
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2084N0400X

Taxonomy Name Neurology Physician
Classification

Psychiatry & Neurology

Group

Allopathic & Osteopathic Physicians

License No. 18586
License State MS
Description A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

M.D. Lennon E. Bowen IV
6300 E Lake Blvd Ste 201

Vancleave, MS, US

Phone: 228-230-2663
Fax: 228-206-1192

Mailing Address

M.D. Lennon E. Bowen IV
6300 E Lake Blvd Ste 301
Vancleave, MS, US
ZIP 395656771
Phone: 228-230-2663
Fax: 228-206-1192

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2084N0600X

Allopathic & Osteopathic Physicians

Psychiatry & Neurology

18586 MS No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
646000515 COMMERCIAL 01
P00280787 RAILROAD MEDICARE 01
02277207 MS MEDICAID 05

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