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Individual

DR. LOWELL CHARLES WARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
952 FAIRVIEW AVE, BOWLING GREEN, KY 42101-4969
(270) 781-2220
(270) 781-2155
Mailing address
952 FAIRVIEW AVE, BOWLING GREEN, KY 42101-4938
(270) 781-2220
(270) 781-2155

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1255DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77012557
KY
Enumeration date
08/26/2005
Last updated
11/20/2007
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