Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD0000006447 | TN |
NPI | 1003897752 |
---|---|
Provider Name | Thomas H. Lowry |
First Address | Knoxville, TN 37909-1383 |
Second Address | Knoxville, TN 37931-3162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 18/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B02355 | (02) | |
Q007780 | (05) | TN |