Healthcare Provider Details

I. General information

NPI: 1902461700
Provider Name (Legal Business Name): ANNE SUN LOWERY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21911 76TH AVE W STE 211
EDMONDS WA
98026-7918
US

IV. Provider business mailing address

21911 76TH AVE W STE 211
EDMONDS WA
98026-7918
US

V. Phone/Fax

Practice location:
  • Phone: 425-775-6651
  • Fax: 425-670-6718
Mailing address:
  • Phone: 425-775-6651
  • Fax: 425-670-6718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD61683645
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: