Provider Demographics
NPI:1104835818
Name:LOWRY, DON ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:ALLEN
Last Name:LOWRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CELESTE DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-2832
Mailing Address - Country:US
Mailing Address - Phone:814-255-6781
Mailing Address - Fax:814-255-5716
Practice Address - Street 1:2 CELESTE DR
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-2832
Practice Address - Country:US
Practice Address - Phone:814-255-6781
Practice Address - Fax:814-255-5716
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031001E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009707930001Medicaid
PA0009707930001Medicaid
PA066682Medicare PIN