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Individual

DR. SANDRA PANZARELLA LOWRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
455 ST MICHAELS DRIVE, SANTA FE, NM 87505-7621
(505) 986-8620
(505) 820-2461
Mailing address
465 ST MICHAELS DRIVE, SUITE 115, SANTA FE, NM 87505-7621
(505) 986-8620
(505) 820-2461

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
87-330
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
87-330
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00E1915
NM
01
00NM002188
BLUE CROSS & BLUE SHIELD
NM
Enumeration date
10/02/2006
Last updated
12/18/2007
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