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Individual
LISA LOWER
Active
Individual
LISA LOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48-1284001
—
KS
Enumeration date
08/03/2015
Last updated
08/03/2015
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