Individual
LAKISKA LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
527 DIVINE DR, ALBANY, GA 31721-8993
(229) 395-2845
(229) 883-4025
Mailing address
PO BOX 71721, ALBANY, GA 31708-1721
(229) 395-2845
(229) 883-4025
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
003481
GA
Other
Enumeration date
12/08/2006
Last updated
07/09/2007
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