Individual
LACEY LOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 E ADAMS ST, COCHRANTON, PA 16314-8604
(814) 425-2981
(814) 425-3433
Mailing address
675 N BROAD STREET EXT STE 3, GROVE CITY, PA 16127-5805
(724) 458-0232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014199
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3109466
HIGHMARK MEDICARE ADVANTAGE
PA
Enumeration date
09/23/2014
Last updated
06/10/2024
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