Provider Demographics
NPI:1215801493
Name:MOWRY, LISA MARIE
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:MOWRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:MOWRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:39 WASHINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03244-5330
Mailing Address - Country:US
Mailing Address - Phone:603-391-6181
Mailing Address - Fax:
Practice Address - Street 1:39 WASHINGTON CIR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03244-5330
Practice Address - Country:US
Practice Address - Phone:603-391-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH038129-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse