Provider Demographics
NPI:1285634519
Name:LOWINGER, DANIEL ADAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ADAM
Last Name:LOWINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1764 NW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5218
Mailing Address - Country:US
Mailing Address - Phone:206-782-7300
Mailing Address - Fax:206-782-0758
Practice Address - Street 1:1764 NW 56TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5218
Practice Address - Country:US
Practice Address - Phone:206-782-7300
Practice Address - Fax:206-782-7300
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000783213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5823620001OtherDME SUPPLIER NUMBER
WADE6917OtherRR MEDICARE
WA8439713Medicaid
WA5823620001Medicare NSC
WADE6917OtherRR MEDICARE
G8860174Medicare PIN