Provider Demographics
NPI:1083730485
Name:LOWER, RAYMOND FRANCIS (DO)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:FRANCIS
Last Name:LOWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19465 DEERFIELD AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-1707
Mailing Address - Country:US
Mailing Address - Phone:703-858-1800
Mailing Address - Fax:703-858-1801
Practice Address - Street 1:19465 DEERFIELD AVE STE 405
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-1707
Practice Address - Country:US
Practice Address - Phone:703-858-1800
Practice Address - Fax:703-858-1801
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242630207XX0004X
VA0102037078207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1113-0001OtherCAP CARE ID#
VA4138572OtherAETNA ID#
VA0860461-007OtherCIGNA HMO ID#
VA00741190OtherUNITED HEALTH CARE ID#
VA086034OtherANTHEM BCBS VA ID#
VA411356OtherOPTIMUM CHOICE ID#
VA52-1839524OtherTAX ID#
VA411356OtherOPTIMUM CHOICE ID#
VA4138572OtherAETNA ID#
VA200020748Medicare PIN
VA52-1839524OtherTAX ID#
VA0860461-007OtherCIGNA HMO ID#