Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD8478 | TN |
NPI | 1033102355 |
---|---|
Provider Name | Dr. Edwin Ray Lowery |
First Address | Nashville, TN 37244-0231 |
Second Address | Murfreesboro, TN 37130-2443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 05/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D32149 | (02) | TN |