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Individual

DR. LOWELL G BUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2495 SHREVEPORT HWY, ALEXANDRIA, LA 71306-9004
(318) 473-0010
(318) 483-5168
Mailing address
2495 SHREVEPORT HWY, PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 473-0010
(318) 483-5168

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011854
MO

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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