Lowry, Tara
Lowry, Tara is an individual health care provider with primary practice located at 9 Medical Park Rd Suite 320, Columbia SC 29203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Lowry, Tara can be contacted via phone (803) 434-7151.Contact Information
Primary practice address
9 Medical Park Rd Suite 320
Columbia SC 29203
Phone: (803) 434-7151
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 19648 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 19648 | South Carolina |
Profile Details
NPI number | 1548636640 |
---|---|
LBN Legal business name | Lowry, Tara |
Credentials | NNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2015 |
Last updated | Feb 26th, 2021 - about 4 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 | 1548636640 | NPPES |
South Carolina | MEDICAID | NP3468 |
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