Individual
ERICA DENISE LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2816 ALKAY DR, SHREVEPORT, LA 71118-2512
(318) 453-0666
Mailing address
2816 ALKAY DR, SHREVEPORT, LA 71118-2512
(318) 453-0666
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
010895734
LA
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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