Basic Information
Provider Information
NPI: 1316979438
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRANGE
FirstName: DAVID
MiddleName: LOWRIE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6104 AVE Q SOUTH DRIVE
Address2:  
City: LUBBOCK
State: TX
PostalCode: 79412
CountryCode: US
TelephoneNumber: 8064723430
FaxNumber: 8064723432
Practice Location
Address1: 6104 AVE Q SOUTH DRIVE
Address2:  
City: LUBBOCK
State: TX
PostalCode: 79412
CountryCode: US
TelephoneNumber: 8064723430
FaxNumber: 8064723432
Other Information
ProviderEnumerationDate: 07/07/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XE8945TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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