Individual
DR. WARREN L LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1340 CHARLES ST, SUITE 200, ROCKFORD, IL 61104-2200
(815) 397-6642
(815) 397-6659
Mailing address
1340 CHARLES ST, SUITE 200, ROCKFORD, IL 61104-2200
(815) 397-6642
(815) 397-6659
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036038948
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036038948
—
IL
01
—
10120361
BLUE CROSS BLUE SHEILD
IL
01
—
791342073
RAILROAD MEDICARE PALMETT
IL
Enumeration date
10/12/2005
Last updated
05/29/2008
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