Provider Demographics
NPI:1730228396
Name:BOWER, DANA L (LMT)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:BOWER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8751 STONEYWAY CT
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9718
Mailing Address - Country:US
Mailing Address - Phone:614-286-5459
Mailing Address - Fax:
Practice Address - Street 1:8523 REFUGEE RD
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9625
Practice Address - Country:US
Practice Address - Phone:614-286-5459
Practice Address - Fax:614-448-4570
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH204389433174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist