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Individual

CHARLENE S WHITE-LOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1622 E MARKET ST, WARREN, OH 44483-6613
(330) 399-7215
Mailing address
1622 E MARKET ST, WARREN, OH 44483-6613
(330) 399-7215
(330) 399-2411

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14123-NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE PTAN
OH
05
PENDING
OH
Enumeration date
01/04/2012
Last updated
06/22/2021
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