Individual
ELLEN LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 ALBERTA ST, MARTIN, TN 38237-3501
(504) 419-4771
Mailing address
107 ALBERTA ST, MARTIN, TN 38237-3501
(504) 419-4771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000075785
TN
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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