NPI 1265756696
Lisa P Gowan, CNM
Practice location
- Address
- 104 Medical Dr, Dothan, AL 36303-6902
- Phone
- (334) 671-9445
- Fax
- (334) 671-0059
- Mailing address
- 211 Johntown Rd, Ozark, AL 36360-7517
Registered specialties (2)
Advanced Practice Midwife
Primary
Women's Health Nurse Practitioner
Registry record
- NPI
- 1265756696
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Mar 2010
- Record last updated
- 5 May 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.