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KRYSTLE DAWN LOWRANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
196 E 2000 N STE 110, TOOELE, UT 84074-9335
(435) 843-3677
Mailing address
654 W 770 N, TOOELE, UT 84074-3730

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10399744-4405
UT
363LP2300X
Primary Care Nurse Practitioner
103997444405
UT

Other

Enumeration date
12/18/2020
Last updated
03/09/2022
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