Healthcare Provider Details

I. General information

NPI: 1629653316
Provider Name (Legal Business Name): KATIE LOWMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2021
Last Update Date: 03/14/2021
Certification Date: 03/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HOSPITAL DR
LEXINGTON NC
27292-6792
US

IV. Provider business mailing address

250 HOSPITAL DR
LEXINGTON NC
27292-6792
US

V. Phone/Fax

Practice location:
  • Phone: 336-248-5168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number316100
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: