Provider Demographics
NPI:1437382611
Name:LOWNES, HOLLY EICHELBERGER (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:EICHELBERGER
Last Name:LOWNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 CATHEDRAL BELL DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8440
Mailing Address - Country:US
Mailing Address - Phone:919-562-4826
Mailing Address - Fax:
Practice Address - Street 1:3709 CATHEDRAL BELL DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8440
Practice Address - Country:US
Practice Address - Phone:919-562-4826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28536207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC53141OtherBLUE CROSS BLUE SHIELD
NC8953141Medicaid
NC8953141Medicaid
NCF19179Medicare UPIN