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Individual

DR. KEISHA MICHELLE LOWERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5500 PERRINE DR, ORLANDO, FL 32808-2409
(352) 209-1965
Mailing address
5500 PERRINE DR, ORLANDO, FL 32808-2409
(352) 209-1965

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1047955
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1047955
FL
Enumeration date
04/02/2021
Last updated
03/11/2025
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