Individual
SUZANNE LEE LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
939 BOB ARNOLD BLVD, SUITE A, LITHIA SPRINGS, GA 30122-3258
(770) 732-2959
(770) 732-2947
Mailing address
PO BOX 727, LITHIA SPRINGS, GA 30122-0727
(770) 732-2959
(770) 732-2947
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
035462
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00503456C
—
GA
01
—
441300
BLUE CROSS BLUE SHIELD
GA
01
—
58 2131709
TAX ID
GA
01
—
7403703
UNITED HEALTHCARE
GA
Enumeration date
08/12/2006
Last updated
09/05/2019
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