Provider Demographics
NPI:1265653950
Name:LOWERY, ROBIN LYNN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:LYNN
Last Name:LOWERY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 KARLA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120
Mailing Address - Country:US
Mailing Address - Phone:501-952-7814
Mailing Address - Fax:
Practice Address - Street 1:TROOP MEDICAL CLINIC
Practice Address - Street 2:BLDG 6500, CAMP ROBINSON
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72119
Practice Address - Country:US
Practice Address - Phone:501-212-5264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-264363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant