Organization
LOWRY MEDICAL SUPPLY, INC
Active
Other names
DME Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL GEORGESCU (CEO)
(615) 331-0036
Entity
Organization
Contact information
Practice address
150 SPACE PARK S BLDG A-6, NASHVILLE, TN 37211-3123
(615) 331-0036
(615) 866-0190
Mailing address
1717 ORANGE AVE UNIT 3942, FORT PIERCE, FL 34948-2448
(615) 331-0036
(615) 866-0190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166393600
DEPT OF LABOR PROVIDER NU
TN
01
—
4112378
TENNCARE SELECT
TN
05
—
90262585
—
KY
05
—
Q017317
—
TN
Enumeration date
10/05/2006
Last updated
08/30/2021
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