Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC013346 | CA |
NPI | 1003060427 |
---|---|
Provider Name | Dr. Eugene Lowery |
First Address | Vista, CA 92083-5732 |
Second Address | Vista, CA 92083-5732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2008 |
Last Update Date | 12/11/2008 |