Provider Demographics
NPI:1578551743
Name:LOWERY, ROBERT D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:LOWERY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7329
Mailing Address - Country:US
Mailing Address - Phone:501-268-7154
Mailing Address - Fax:501-268-9071
Practice Address - Street 1:105 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7329
Practice Address - Country:US
Practice Address - Phone:501-268-7154
Practice Address - Fax:501-268-9071
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC4952207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR4459473OtherAETNA
AR0820018OtherUNITED HEALTH CARE
AR103137001Medicaid
AR12379-000000OtherQUAL CHOICE
AR4459473OtherAETNA
ARD04739Medicare UPIN