Individual
ELIZABETH ANNE LOWENHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4515
(401) 444-7018
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD12434
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD12434
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699972
—
RI
01
—
33167-4
BLUE CROSS/BLUE SHIELD OF RI
RI
01
—
414588
BLUE CHIP OF RHODE ISLAND
RI
01
—
439021
MANAGED HEALTH NET
RI
Enumeration date
06/27/2007
Last updated
01/06/2011
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