Doctor Name: | ANGELLE P LOWERY |
NPI Number: | 1013966969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA069 |
Business Practice Address: | 1137 Ocean Springs Rd Ocean Springs, MS - 395643421 |
Business Phone Number: | 2288758291 |
Business Fax Number: | 8775043044 |
Mailing Address: | 1137 Ocean Springs Rd, OCEAN SPRINGS |
State: | MS |
Postal Code: | 395643421 |
Phone Number: | 2288758291 |
Fax Number: | 8775043044 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |