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General NPI Number Information
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NPI Number | 1891856928
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Entity Type | Individual
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Provider Name | LYNNELL C LOWRY MD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18720 STONE OAK PARKWAY STE 119A
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-697-3821
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Fax | 210-690-0165
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Provider Business Mailing Address
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Address Line | 18720 STONE OAK PARKWAY STE 119A
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-697-3821
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Fax | 210-690-0165
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K4942
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD29737
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License Number State | TN
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