Individual
GEORGIA DELAIN LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ROUTE 6 NUMBER 840, STILWELL, OK 74960
(918) 696-8800
Mailing address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0033883
OK
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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