Individual
JACOB LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-2273
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0102207259
VA
208D00000X
General Practice Physician
0102207259
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
06/11/2024
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