| NPI | 1235119975 |
|---|---|
| Former Name | LISA M LOWERY-DUBOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301070056) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301070056) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-02-25 |