Individual
MRS. MIRANDA A LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-3000
(931) 461-4684
Mailing address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-3000
(931) 461-4684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1719
TN
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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