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Lennon E. Bowen IV, MD
Neurology Physician in Vancleave, Mississippi
NPI 1619919156

Lennon E. Bowen IV is a Neurology Physician based in Vancleave, MS and is specialized in Neurology. Lennon E. Bowen IV practices in Vancleave, MS and has the professional credentials of MD. The NPI Number for Lennon E. Bowen IV is 1619919156 and holds a License No. 18586 (Mississippi).

The current practice location address for Lennon E. Bowen IV is 6300 E Lake Blvd Ste 201, Vancleave, MS and can be reached out via phone at 228-230-2663 and via fax at 228-206-1192.

Location: 6300 E Lake Blvd Ste 201, Vancleave, MS, 39565-6771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619919156
Provider Name
Lennon E. Bowen IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6300 E Lake Blvd Ste 201, Vancleave, MS, 39565-6771
Phone Number
228-230-2663
Fax Number
228-206-1192
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
646000515 01 COMMERCIAL
P00280787 01 RAILROAD MEDICARE
02277207 05 MS
institution
Provider Business Practice Location Address Details
Address
6300 E Lake Blvd Ste 201
City
Vancleave
State
Mississippi
Zip
39565
Phone Number
228-230-2663
Fax Number
228-206-1192
person
Provider Business Mailing Address Details
Address
6300 E Lake Blvd Ste 201
City
Vancleave
State
Mississippi
Zip
39565
Phone Number
228-230-2663
Fax Number
228-206-1192
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
18586 (Mississippi)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
18586 (Mississippi)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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