Provider Demographics
NPI:1578978086
Name:LOWRY, CHRISTOPHER PAUL (MA, CCC-A (AUDIOLO)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:LOWRY
Suffix:
Gender:M
Credentials:MA, CCC-A (AUDIOLO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 W FAULKNER ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-4519
Mailing Address - Country:US
Mailing Address - Phone:870-862-8330
Mailing Address - Fax:870-862-8330
Practice Address - Street 1:524 W FAULKNER ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-4519
Practice Address - Country:US
Practice Address - Phone:870-862-8330
Practice Address - Fax:870-862-8330
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA#221237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter