Individual
ANDREW LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3597 E MONARCH SKY LANE, SUITE 240 PMB 2358, MERIDIAN, ID 83646-1055
(208) 996-3519
Mailing address
3597 E MONARCH SKY LANE, SUITE 240 PMB 2358, MERIDIAN, ID 83646-1055
(208) 996-3519
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
12611167-0501
UT
213E00000X
Podiatrist
363
OK
213E00000X
Podiatrist
DP209154
OR
213E00000X
Podiatrist
Primary
P256
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2017
Last updated
03/27/2023
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