Provider Demographics
NPI:1316043060
Name:DOWIE, LORI LYNN (DO)
Entity Type:Individual
Prefix:MISS
First Name:LORI
Middle Name:LYNN
Last Name:DOWIE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:11211 PROSPERITY FARMS RD
Mailing Address - Street 2:SUITE C211
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3446
Mailing Address - Country:US
Mailing Address - Phone:561-743-4911
Mailing Address - Fax:561-743-2998
Practice Address - Street 1:11211 PROSPERITY FARMS RD
Practice Address - Street 2:SUITE C211
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3446
Practice Address - Country:US
Practice Address - Phone:561-743-4911
Practice Address - Fax:561-743-2998
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-02-25
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8016207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262188600Medicaid
FL01885Medicare ID - Type Unspecified
FL262188600Medicaid