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Individual

DR. LOWELL D. SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1916 PIERCE ST, SIOUX CITY, IA 51104-3843
(712) 252-3546
Mailing address
1916 PIERCE ST, SIOUX CITY, IA 51104-3843
(712) 252-3546

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7484
IA
1223G0001X
General Practice Dentistry
Primary
7484
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0071951
IA
Enumeration date
01/22/2007
Last updated
09/11/2025
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