Provider Demographics
NPI:1619775293
Name:BOWMAN, DONZELL LAMAR
Entity type:Individual
Prefix:
First Name:DONZELL
Middle Name:LAMAR
Last Name:BOWMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8104 OLD BRANCH AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2273
Mailing Address - Country:US
Mailing Address - Phone:240-318-0000
Mailing Address - Fax:
Practice Address - Street 1:2219 TOWN CENTER DR SE APT 148
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4032
Practice Address - Country:US
Practice Address - Phone:202-409-8671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant