Lowder, Jerry Lane
Lowder, Jerry Lane is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Obgyn Pelvic Med/Reconstruct Surg, Ste 710, Saint Louis MO 63108-1495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Lowder, Jerry Lane can be contacted via phone (314) 747-1402.Contact Information
Primary practice address
4901 Forest Park Ave Div Obgyn Pelvic Med/Reconstruct Surg, Ste 710
Saint Louis MO 63108-1495
Phone: (314) 747-1402
Fax: (314) 362-3328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2013044288 | Missouri |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 2013044288 | Missouri |
Profile Details
| NPI number | 1619941879 |
|---|---|
| LBN Legal business name | Lowder, Jerry Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Apr 25th, 2024 - 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 | 1619941879 | NPPES |
| Missouri | MEDICAID | 200011086 |
Popular Providers
-
Wood, Sara Christine
4901 Forest Park Ave Div Obgyn Pelvic Med/Reconstruct Surg, Ste 710, Saint Louis MO 63108-1495 -
Leong, Fah Che
1031 Bellevue Ave Suite 400, Saint Louis MO 63117-1818 -
Heit, Michael H.
1633 N. Capitol Avenue Suite 436, Indianapolis IN 46202-1264 -
Shi, Joe
621 S New Ballas Rd Ste 499A , Saint Louis MO 63141-8260 -
Lotze, Peter M
7900 Fannin St Ste 4000 Women'S Pelvic Restorative Center Pllc, Houston TX 77054-2935 -
Bickhaus, Jennifer
1031 Bellevue Ave Ste 200 , Saint Louis MO 63117-1856 -
Karram, Michael
4631 Ridge Ave Ste A , Cincinnati OH 45209-1028 -
Ghetti, Chiara Giovanna Iris
4901 Forest Park Ave Div Obgyn Pelvic Med/Reconstruct Surg, Ste 710, Saint Louis MO 63108-1495