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NPI Code Detail

MEDICARE: SUZANNE LEE LOWRY M.D.

MEDICARE:   SUZANNE LEE LOWRY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician035462GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1441300OTHERGABLUE CROSS BLUE SHIELD
27403703OTHERGAUNITED HEALTHCARE
358 2131709OTHERGATAX ID
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346252111
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE LEE LOWRY M.D.
Provider Business Mailing Address
First Line : PO BOX 727
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-0727
Country : US
Telephone Number : 770-732-2959
Fax Number : 770-732-2947
Provider Business Practice Location Address
First Line : 939 BOB ARNOLD BLVD
Second Line : SUITE A
City : LITHIA SPRINGS
State : GA
Zip : 30122-3258
Country : US
Telephone Number : 770-732-2959
Fax Number : 770-732-2947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 09/05/2019

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Directions to “ SUZANNE LEE LOWRY M.D.” Practice Location

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