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Individual

JONATHAN LOWRANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN-CRNA

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
51 SCAMMAN ST, SOUTH PORTLAND, ME 04106-4533
(828) 702-2944

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA153015
ME

Other

Enumeration date
06/15/2015
Last updated
06/15/2015
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