Individual
KATIE LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 N ELM ST, LUMBERTON, NC 28358-2984
(910) 674-4203
(910) 674-4213
Mailing address
PO BOX 1466, LUMBERTON, NC 28359-1466
(910) 674-4203
(910) 674-4213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200300493
NC
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
200300493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134J4
BCBS PROVIDER NUMBER
NC
01
—
7698441
AETNA PROVIDER NUMBER
NC
05
—
89134J4
—
NC
01
—
C7593
MEDCOST PROVIDER NUMBER
NC
Enumeration date
08/11/2005
Last updated
04/15/2015
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