Individual
GLEN DAVID LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2039 INDIAN ROCKS RD S, LARGO, FL 33774-1035
(727) 584-7666
(727) 586-1386
Mailing address
2039 INDIAN ROCKS RD S, LARGO, FL 33774-1035
(727) 584-7666
(727) 586-1386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS4038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067548200
—
FL
Enumeration date
06/13/2005
Last updated
07/07/2009
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