MEDICARE: KRISTINA LOWRIE

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
1	208100000X	Physical Medicine & Rehabilitation Physician	297014	CA

General Provider Information

NPI Number	:	1568019339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA LOWRIE

Provider Business Mailing Address
First Line	:	2889 E SAN ANGELO RD
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-3805
Country	:	US
Telephone Number	:	760-408-9672
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 S PALM CANYON DR STE 111
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-8348
Country	:	US
Telephone Number	:	760-327-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	08/26/2019

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Directions to “ KRISTINA LOWRIE ” Practice Location

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