Provider Demographics
NPI:1104089770
Name:LOWRY, DARWIN PHILLIP JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:DARWIN
Middle Name:PHILLIP
Last Name:LOWRY
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9711 POLISHED STONE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2801
Mailing Address - Country:US
Mailing Address - Phone:301-498-4410
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE SIETE CASAS
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-8609
Practice Address - Country:US
Practice Address - Phone:443-538-3804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0003785363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant