Healthcare Provider Details

I. General information

NPI: 1063951119
Provider Name (Legal Business Name): JOSHUA LOWENTRITT MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 ANNUNCIATION ST
NEW ORLEANS LA
70115-1004
US

IV. Provider business mailing address

2900 ANNUNCIATION ST
NEW ORLEANS LA
70115-1004
US

V. Phone/Fax

Practice location:
  • Phone: 504-655-2374
  • Fax: 504-897-2939
Mailing address:
  • Phone: 504-655-2374
  • Fax: 504-897-2939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA E LOWENTRITT
Title or Position: MANAGER
Credential: MD
Phone: 504-655-2374