Individual
AMY LOUISE HAVENS LOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
109 S 6TH ST # A, HIAWATHA, KS 66434
(785) 742-3631
Mailing address
PO BOX 207293, DALLAS, TX 75320-7255
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2072
KS
152WC0802X
Corneal and Contact Management Optometrist
OH4839
OH
152WP0200X
Pediatric Optometrist
OH4839
OH
Other
Enumeration date
10/03/2006
Last updated
06/04/2020
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