Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 2011006601 | MO |
NPI | 1154312726 |
---|---|
Provider Name | Lia H Lowrie |
First Address | Saint Louis, MO 63104-1003 |
Second Address | Saint Louis, MO 63104-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 15/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221165 | UNISON (01) | OH |
000000526045 | ANTHEM (01) | OH |
0016555070001 | (05) | PA |
0791237 | (05) | OH |
0791237 | BCMH (01) | OH |
1016555070003 | PA MEDICAID (01) | PA |
1154312726 | MI MEDICAID (01) | MI |
363783 | WELLCARE (01) | OH |
647553 | AETNA (01) | OH |
727503 | BUCKEYE (01) | OH |
P00618511 | RAILROAD MEDICARE (01) | OH |
Q51574 | (05) | SC |