Individual
MARK ANTHONY PLOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
379 COPPERFIELD LOOP, LUFKIN, TX 75904
(936) 414-2414
Mailing address
379 COPPERFIELD LOOP, LUFKIN, TX 75904-3285
(936) 414-2414
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
306961
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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