Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01063374A | IN |
Y | 207VX0201X | Gynecologic Oncologist | 01063374A | IN |
N | 207VX0201X | Gynecologic Oncologist | 2010-01040 | NC |
NPI | 1063622959 |
---|---|
Provider Name | William Jeffrey Lowery |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27710-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 14/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201387310 | (05) | IN |
P01723973 | RR MEDICARE (01) | IN |