Provider Demographics
NPI:1730146028
Name:LOWERY, RONALD LEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEN
Last Name:LOWERY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10 HOSPITAL CIR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7310
Mailing Address - Country:US
Mailing Address - Phone:870-793-4040
Mailing Address - Fax:870-793-5649
Practice Address - Street 1:10 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7310
Practice Address - Country:US
Practice Address - Phone:870-793-4040
Practice Address - Fax:870-793-5649
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC8281207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR129792001Medicaid
AR5K096OtherBLUE CROSS-BLUE SHIELD
ARG27114Medicare UPIN
AR129792001Medicaid