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Individual

DR. LOWELL LANE KETRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 MEDICAL CENTER BLVD STE 200, CONROE, TX 77304-2821
(936) 441-9680
(936) 539-9685
Mailing address
100 MEDICAL CENTER BLVD STE 200, CONROE, TX 77304-2821
(936) 441-9680
(936) 539-9685

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
S6423
TX
207RI0011X
Interventional Cardiology Physician
Primary
S6423
TX

Other

Enumeration date
06/27/2012
Last updated
11/12/2020
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