Provider Demographics
NPI:1821300948
Name:LOWERY, JOEY S (DC)
Entity Type:Individual
Prefix:MR
First Name:JOEY
Middle Name:S
Last Name:LOWERY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 MER ROUGE RD
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220-6709
Mailing Address - Country:US
Mailing Address - Phone:318-283-5007
Mailing Address - Fax:318-283-5008
Practice Address - Street 1:6001 MER ROUGE RD
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-6709
Practice Address - Country:US
Practice Address - Phone:318-283-5007
Practice Address - Fax:318-283-5008
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1549111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor