Individual
WILLIAM J LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 PARK RD STE 320, CHARLOTTE, NC 28209-3139
(704) 713-2475
Mailing address
4400 PARK RD STE 320, CHARLOTTE, NC 28209-3139
(704) 713-2475
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
—
Enumeration date
02/19/2019
Last updated
02/19/2019
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