Individual
JACKLYN LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
512 E MAIN ST, PARK HILLS, MO 63601-2624
(573) 431-0554
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007028314
MO
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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