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Individual

DEVENI L LOWRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3658
(330) 480-3439
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.334821
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.334821
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE PTAN
OH
05
PENDING
OH
Enumeration date
06/30/2021
Last updated
09/20/2022
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