Individual
TERI A LOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
(620) 694-2049
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
22480
KS
2080P0201X
Pediatric Allergy/Immunology Physician
22480
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137740A
—
KS
05
—
100137740B
—
KS
Enumeration date
06/18/2006
Last updated
08/20/2021
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