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Individual

MRS. ANNIE RAE LOWERY

Active
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Individual

MRS. ANNIE RAE LOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

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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