Individual
LACEE NICOLE LOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP
Contact information
Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-1000
Mailing address
103 RAVENWOOD CV, TUPELO, MS 38804-7082
(918) 214-5820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11190382
MS
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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