Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 22480 | KS |
N | 2080P0201X | Pediatric Allergist | 22480 | KS |
NPI | 1083659643 |
---|---|
Provider Name | Teri A Lower |
First Address | Hutchinson, KS 67502-1131 |
Second Address | Hutchinson, KS 67502-1131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 20/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100137740A | (05) | KS |
100137740B | (05) | KS |
F44006 | (02) |