Provider Demographics
NPI:1487816195
Name:LOWREY, EDWIN TERREL (RRT)
Entity Type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:TERREL
Last Name:LOWREY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-3141
Mailing Address - Country:US
Mailing Address - Phone:877-518-5669
Mailing Address - Fax:251-368-3599
Practice Address - Street 1:1110 DAVIS DR
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-3141
Practice Address - Country:US
Practice Address - Phone:877-518-5669
Practice Address - Fax:251-368-3599
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4112279H0200X, 2279P1004X, 2279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function Technologist