Individual
DR. JAMES RUSSELL LOWREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8583 W LINEBAUGH AVE, TAMPA, FL 33625-3731
(813) 855-3606
(813) 926-0632
Mailing address
8583 W LINEBAUGH AVE, TAMPA, FL 33625-3731
(813) 855-3606
(813) 926-0632
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030514682
TAX ID
—
01
—
219678
AMERIGROUP
FL
05
—
340189800
—
FL
01
—
65615
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/06/2006
Last updated
10/21/2011
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