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NPI Code Detail

MEDICARE: SHEKEIRA ALNEISA LOWRY

MEDICARE:   SHEKEIRA ALNEISA LOWRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program401841550316OH

General Provider Information

NPI Number : 1942978291
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEKEIRA ALNEISA LOWRY
Provider Business Mailing Address
First Line : 174 VENNUM AVE
Second Line :
City : MANSFIELD
State : OH
Zip : 44903-2127
Country : US
Telephone Number : 614-377-9980
Fax Number :
Provider Business Practice Location Address
First Line : 174 VENNUM AVE
Second Line :
City : MANSFIELD
State : OH
Zip : 44903-2127
Country : US
Telephone Number : 614-377-9980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

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Directions to “ SHEKEIRA ALNEISA LOWRY ” Practice Location

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