Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 036.137152 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 64300 | MN |
NPI | 1285992354 |
---|---|
Provider Name | Joanna M Lowisz |
First Address | Minneapolis, MN 55404-4289 |
Second Address | Minneapolis, MN 55404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 23/10/2020 |