Individual
LACEY L LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
2301 BEMISS RD, VALDOSTA, GA 31602-1934
(229) 244-1667
(229) 244-8253
Mailing address
2301 BEMISS RD, VALDOSTA, GA 31602-1934
(229) 244-1667
(229) 244-8253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET002479
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP009984
GA
Other
Enumeration date
02/10/2017
Last updated
01/22/2020
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