Individual
JEFFREY MICHAEL LOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
NONE, NONE, CA 92210
(760) 346-3292
Mailing address
45395 VIA CORONA, INDIAN WELLS, CA 92210-8744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT35002-TLG
CA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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