Provider Demographics
NPI:1881702025
Name:DOWNS, LORRIE ANN (MD)
Entity type:Individual
Prefix:DR
First Name:LORRIE
Middle Name:ANN
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 GORMAN AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3154
Mailing Address - Country:US
Mailing Address - Phone:304-637-3565
Mailing Address - Fax:304-637-3568
Practice Address - Street 1:911 GORMAN AVE STE 304
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3154
Practice Address - Country:US
Practice Address - Phone:304-637-3565
Practice Address - Fax:304-637-3568
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV21601208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810000483Medicaid
WV3810001015Medicaid
WVI17257Medicare UPIN
WV3810000483Medicaid