Lowder, Gary Wayne
Lowder, Gary Wayne is an sole proprietor health care provider with primary practice located at 2408 Broadmoor Blvd Ste B , Monroe LA 71201-2994. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lowder, Gary Wayne can be contacted via phone (183) 807-0525.Contact Information
Primary practice address
2408 Broadmoor Blvd Ste B
Monroe LA 71201-2994
Phone: (183) 807-0525
Fax: (183) 807-1077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01617R | Louisiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 10617R | Louisiana |
Profile Details
| NPI number | 1275652877 |
|---|---|
| LBN Legal business name | Lowder, Gary Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Oct 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275652877 | NPPES |
| Louisiana | MEDICAID | 1683710 |
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