Individual
MR. LOWELL T DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5287
Mailing address
1306 MEAGHAN DR, CHAMPAIGN, IL 61822-1840
(217) 417-9713
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
194005266
IL
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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