Lisa Kaye Bowersox, PA-C

NPI #1942372255 in Petoskey, Michigan

Provider Information

NPI Number: 1942372255
Entity Type: Individual
Name: Lisa Kaye Bowersox, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 14, 2006
Last Updated: Jul 27, 2023

Practice Location

Address: 311 W MITCHELL ST
City: Petoskey
State: Michigan
ZIP Code: 49770-2327
Phone: (616) 326-0114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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