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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548636640 NPPES
South Carolina MEDICAID NP3468

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