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Individual

MRS. STACEY LYNN LOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1006 NE 17TH ST, OKLAHOMA CITY, OK 73111-1002
(405) 419-9800
(405) 521-8496
Mailing address
1006 NE 17TH ST, OKLAHOMA CITY, OK 73111-1002
(405) 419-9800
(405) 521-8496

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85025
OK

Other

Enumeration date
01/07/2020
Last updated
12/01/2022
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