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Individual

MELODY Y LOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4085
(313) 253-2000
(313) 253-2028
Mailing address
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4085
(313) 253-2000
(313) 253-2028

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704213505
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4593570
MI
Enumeration date
08/04/2006
Last updated
07/08/2007
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