Provider Demographics
NPI:1225295850
Name:LOWRY, CHERI LEANNE (MSAOM, DIPLACUP)
Entity Type:Individual
Prefix:MS
First Name:CHERI
Middle Name:LEANNE
Last Name:LOWRY
Suffix:
Gender:F
Credentials:MSAOM, DIPLACUP
Other - Prefix:MS
Other - First Name:CHERI
Other - Middle Name:LEANNE
Other - Last Name:TATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:107 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-3225
Mailing Address - Country:US
Mailing Address - Phone:405-227-9875
Mailing Address - Fax:
Practice Address - Street 1:107 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:OK
Practice Address - Zip Code:74873-3225
Practice Address - Country:US
Practice Address - Phone:405-227-9875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist