Provider Demographics
NPI:1053319913
Name:LOWMAN, LYN STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:LYN
Middle Name:STEVEN
Last Name:LOWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 48089
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-8089
Mailing Address - Country:US
Mailing Address - Phone:706-389-3740
Mailing Address - Fax:706-389-3951
Practice Address - Street 1:2470 DANIELS BRIDGE RD STE 251
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6192
Practice Address - Country:US
Practice Address - Phone:706-389-3440
Practice Address - Fax:706-353-2205
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA37856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG02670Medicare UPIN
GA06BFGXPMedicare ID - Type Unspecified
GA511I060177Medicare PIN
GA4615640OtherAETNA
GA00655509DMedicaid
GA072954OtherBLUE SHIELD
GA110235620OtherRAILROAD MEDICARE
GA1770905OtherUNITED HEALTHCARE