Individual
HOLLY MARIE LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4639 REED RD, FORT WAYNE, IN 46835-3543
(260) 797-6421
Mailing address
4639 REED RD, FORT WAYNE, IN 46835-3543
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
B6H8B6K4
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B6H8B6K4
—
IN
Enumeration date
05/26/2022
Last updated
05/26/2022
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