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COURTNEY BUTLER LOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
(678) 312-3282

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129258
TN
367500000X
Certified Registered Nurse Anesthetist
13595
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA182407
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN182407
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108055
AL
05
1509499
TN
01
4187045
BLUE CROSS BLUE SHIELD TN
TN
05
786364128A
GA
05
8053491
NC
01
N472900
WELLCARE (GA MEDICAID)
GA
Enumeration date
07/22/2008
Last updated
01/15/2026
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