Organization
JIM D LOWERY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINKA UNDERKOFFLER (OFFICE MANAGER)
(405) 842-4435
Entity
Organization
Contact information
Practice address
1117 NW 50TH ST, OKLAHOMA CITY, OK 73118-4401
(405) 842-4435
(405) 842-2846
Mailing address
1117 NW 50TH ST, OKLAHOMA CITY, OK 73118-4401
(405) 842-4435
(405) 842-2846
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
149140
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130840A
—
OK
Enumeration date
05/31/2013
Last updated
05/31/2013
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