Provider Demographics
NPI:1376853135
Name:LOWRANCE, LEA ANN T (RPH)
Entity Type:Individual
Prefix:
First Name:LEA ANN
Middle Name:T
Last Name:LOWRANCE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 HWY 65 N
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:AR
Mailing Address - Zip Code:72650
Mailing Address - Country:US
Mailing Address - Phone:870-448-3841
Mailing Address - Fax:870-448-3852
Practice Address - Street 1:1002 HWY 65 N
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:AR
Practice Address - Zip Code:72650
Practice Address - Country:US
Practice Address - Phone:870-448-3841
Practice Address - Fax:870-448-3852
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist