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NPI Code Detail

MEDICARE: CHRISTINA LOWRY

MEDICARE: CHRISTINA LOWRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP9415648FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306222922
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA LOWRY
Provider Business Mailing Address
First Line : 12201 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2361
Country : US
Telephone Number : 502-568-7364
Fax Number : 502-568-7136
Provider Business Practice Location Address
First Line : 785 S 2ND ST
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-4903
Country : US
Telephone Number : 850-892-2176
Fax Number : 850-892-0781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2015
Last Update Date : 12/31/2024

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