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Individual

MICHELLE LOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Mailing address
911 CUMBERLAND RDG, OXFORD, MS 38655-9231
(601) 622-4465

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R872295
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05652859
MS
Enumeration date
08/25/2010
Last updated
07/21/2022
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