Provider Demographics
NPI:1427198738
Name:LOWERY'S FAMILY CARE
Entity Type:Organization
Organization Name:LOWERY'S FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:UNDRAY
Authorized Official - Middle Name:LOWERY
Authorized Official - Last Name:ROLLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-723-0175
Mailing Address - Street 1:1113 E 2ND ST
Mailing Address - Street 2:APT-G
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-4483
Mailing Address - Country:US
Mailing Address - Phone:336-723-0175
Mailing Address - Fax:336-748-0961
Practice Address - Street 1:1113 E 2ND ST
Practice Address - Street 2:APT-G
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-4483
Practice Address - Country:US
Practice Address - Phone:336-723-0175
Practice Address - Fax:336-748-0961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1602251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health