Individual
JOHN BRUCE LOWE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 CARROLL ST, SUITE 5, SHREVEPORT, LA 71105-4248
(318) 868-7127
(318) 868-9532
Mailing address
230 CARROLL ST, SUITE 5, SHREVEPORT, LA 71105-4248
(318) 868-7127
(318) 868-9532
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2594
LA
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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