Provider Demographics
NPI:1225049513
Name:LOWREY, GERLINDA LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:GERLINDA
Middle Name:LEIGH
Last Name:LOWREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 950248
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0248
Mailing Address - Country:US
Mailing Address - Phone:502-238-2801
Mailing Address - Fax:502-238-2835
Practice Address - Street 1:9115 LEESGATE RD
Practice Address - Street 2:SUITE A
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5003
Practice Address - Country:US
Practice Address - Phone:502-429-8011
Practice Address - Fax:502-429-6389
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2012-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY26297207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000613992OtherANTHEM
KY64296734Medicaid
KY000000613992OtherANTHEM
KY00162063Medicare PIN