Individual
LIA H LOWRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2011006601
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221165
UNISON
OH
01
—
000000526045
ANTHEM
OH
05
—
0016555070001
—
PA
01
—
0791237
BCMH
OH
05
—
0791237
—
OH
01
—
1016555070003
PA MEDICAID
PA
01
—
1154312726
MI MEDICAID
MI
01
—
363783
WELLCARE
OH
01
—
647553
AETNA
OH
01
—
727503
BUCKEYE
OH
01
—
P00618511
RAILROAD MEDICARE
OH
05
—
Q51574
—
SC
Enumeration date
11/02/2005
Last updated
01/15/2021
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