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Individual

TAKEYSHA L LOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020677
IL
363LF0000X
Family Nurse Practitioner
2018003785
MO

Other

Enumeration date
09/19/2018
Last updated
01/13/2023
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