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Individual

MR. DANIEL ALBERT LOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
15230 LAKESHORE DR, CLEARLAKE, CA 95422-8107
(707) 995-4500
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8642
(503) 352-8658

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13403
CA
363A00000X
Physician Assistant
PA001267
ME
363A00000X
Physician Assistant
PA0214
NV
363A00000X
Physician Assistant
PA13403
CA
363A00000X
Physician Assistant
Primary
PA153530
OR
363A00000X
Physician Assistant
PA4803
AZ

Other

Enumeration date
10/12/2006
Last updated
10/19/2021
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