Healthcare Provider Details

I. General information

NPI: 1841036423
Provider Name (Legal Business Name): LINDSAY VROON LOWERY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10905 PROVIDENCE RD W STE 260
CHARLOTTE NC
28277-1538
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-542-0744
  • Fax: 704-543-7713
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number930
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: