Individual
DANIEL LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 WASHINGTON AVE, MANSFIELD, LA 71052-3103
(318) 872-0262
Mailing address
419 WASHINGTON AVE, MANSFIELD, LA 71052-3103
(318) 872-0262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942583638
—
LA
Enumeration date
04/27/2018
Last updated
01/14/2019
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