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Individual

LYLE STEWART LOWRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
64793
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0240840
OH
05
OZ85016
OH
Enumeration date
08/12/2005
Last updated
04/25/2017
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