Individual
ETTA LISA LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS0004681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043803100
—
FL
01
—
80158
BCBS
FL
Enumeration date
06/21/2006
Last updated
01/14/2010
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