Individual
MR. CHARLES R. LOWRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1424 EAST FRONT, TYLER, TX 75702
(903) 595-4144
(903) 596-7541
Mailing address
PO BOX 130639, TYLER, TX 75713
(903) 595-4144
(903) 596-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
228195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84114C
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2005
Last updated
03/25/2008
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