Individual
MRS. ANNIE RAE LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 899-4600
Mailing address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 899-4600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041325822
IL
363LF0000X
Family Nurse Practitioner
Primary
209019877
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209019877
LICENSE
IL
Enumeration date
07/08/2019
Last updated
10/20/2020
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