Individual
MRS. STACEY LYNN LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1006 NE 17TH ST, OKLAHOMA CITY, OK 73111-1002
(405) 419-9800
(405) 521-8496
Mailing address
PO BOX 30589, MIDWEST CITY, OK 73140-3589
(405) 769-3301
(405) 769-9685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201049190A
—
OK
Enumeration date
01/07/2020
Last updated
08/14/2026
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