Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 7514 | SC |
NPI | 1023035664 |
---|---|
Provider Name | William L Lowrance |
First Address | Easley, SC 29641-1793 |
Second Address | Easley, SC 29640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 27/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340002696 | RAILROAD MEDICARE (01) | |
B91810 | (02) | |
GP0270 | (05) | SC |