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Individual

ELI NATHAN LOWRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
PSC 20130 315 MCHUGH BLVD, COMMANDING OFFICER, 2D DENBN/NDC, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Mailing address
PSC 20130 315 MCHUGH BLVD, COMMANDING OFFICER, 2D DENBN/NDC, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3748-14
MS

Other

Enumeration date
08/27/2014
Last updated
08/27/2014
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