Organization
LOWRY MEDICAL SUPPLY
Active
Other names
Orthotic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LOWRY CFO (PRESIDENT/OWNER)
(615) 331-0036
Entity
Organization
Contact information
Practice address
203 E GRUNDY ST, TULLAHOMA, TN 37388-3621
(615) 876-6606
Mailing address
PO BOX 2412, BRENTWOOD, TN 37024-2412
(615) 331-0036
(615) 833-3869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
135100
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
135100
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166393600
DEPARTMENT OF LABOR
—
05
—
3562020
—
TN
01
—
4112378
BLUE CROSS BLUE SHIELD
TN
01
—
4112378
TENNCARE SELECT
—
Enumeration date
07/01/2013
Last updated
07/01/2013
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