Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 2305005670 | VA |
Y | 213ES0000X | Sports Medicine | 2305005670 | VA |
NPI | 1417597956 |
---|---|
Provider Name | Robyn Willhide Lowry |
First Address | Midlothian, VA 23114-4404 |
Second Address | Midlothian, VA 23114-4404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2020 |
Last Update Date | 13/01/2020 |