Individual
GRANT LOWTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
PO BOX 100225, GAINESVILLE, FL 32610-0225
(352) 273-8737
(352) 273-9154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME132708
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME132708
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021168300
—
FL
Enumeration date
04/10/2014
Last updated
08/13/2021
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