Individual
DR. GARY WAYNE LOWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2408 BROADMOOR BLVD STE B, MONROE, LA 71201-2994
(183) 807-0525
(183) 807-1077
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10617R
LA
207Q00000X
Family Medicine Physician
Primary
01617R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1683710
—
LA
Enumeration date
03/28/2007
Last updated
10/19/2022
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