Healthcare Provider Details

I. General information

NPI: 1295981900
Provider Name (Legal Business Name): LINDSAY B LOWRY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5109 E PINCHOT AVE
PHOENIX AZ
85018-7910
US

IV. Provider business mailing address

5109 E PINCHOT AVE
PHOENIX AZ
85018-7910
US

V. Phone/Fax

Practice location:
  • Phone: 602-540-0176
  • Fax: 602-274-2157
Mailing address:
  • Phone: 602-540-0176
  • Fax: 602-274-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3054
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: