Provider Demographics
NPI:1184245573
Name:LOWRANCE, JIM LEE (DC)
Entity type:Individual
Prefix:
First Name:JIM
Middle Name:LEE
Last Name:LOWRANCE
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:PO BOX 16246
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79490
Mailing Address - Country:US
Mailing Address - Phone:575-808-1959
Mailing Address - Fax:
Practice Address - Street 1:5152 69TH SUITE 101
Practice Address - Street 2:SUITE 101 BOX #2
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424
Practice Address - Country:US
Practice Address - Phone:906-794-4009
Practice Address - Fax:806-794-1091
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5981111N00000X
NM1206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor