Individual
GARY A. LOWTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
625 JAMES S. TRIMBLE BLVD., PAINTSVILLE, KY 41240-9013
(606) 789-3511
(606) 789-1432
Mailing address
PO BOX 409013, ATLANTA, GA 30384-9013
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02689
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377800
BLUECROSS BLUESHIELD
KY
05
—
0047498-000
—
WV
05
—
2636884
—
OH
05
—
64035751
—
KY
Enumeration date
01/10/2006
Last updated
10/25/2007
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