Basic Information
| Provider Information | |||||||||
| NPI: | 1649209636 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOWRY | ||||||||
| FirstName: | TERRY | ||||||||
| MiddleName: | W. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 655 N ALVERNON WAY | ||||||||
| Address2: | SUITE 216 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857111823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5205474906 | ||||||||
| FaxNumber: | 5207950225 | ||||||||
| Practice Location | |||||||||
| Address1: | 1151 S LA CANADA DR | ||||||||
| Address2: | |||||||||
| City: | GREEN VALLEY | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 856141943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206253230 | ||||||||
| FaxNumber: | 5206259162 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 15838 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.