Lisa Renee Lowry, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

J0579 Issued in TX

Practice address

909 Ese Loop323 Ste 110
Tyler, TX 75701-9675

Phone

(903) 531-2850

Fax

(903) 531-2875

NPI assigned

Jul 11, 2006

Last updated

Mar 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: llowry355493@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology of East Texas PA

  • Dermatology Physician
  • Tyler, TX
  • NPI 1679905673
  Medicare reassignment NPD
• Lawrence L Anderson MD PA

  dba Dermatology Associates Of Tyler

  • Dermatology Physician
  • Tyler, TX
  • NPI 1932134079
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1326072653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-531-2850",
            "fax_number": "903-531-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ESE LOOP323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019675",
            "telephone_number": "903-531-2850",
            "fax_number": "903-531-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J0579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Lowery, AUD
• Thomas Lowery, MD
• Charles R. Lowrance, CRNA
• Susan Lowrie, PHARMSCRIPT
• Kimberley A Lowry, NP
• Richard William Lowry, M.D.
• Juan Eduardo Loy
• Frank Lawrence Loyd, DO
• Jacqueline Loyola
• Gabriel Rios Lozano, CSFA

• Dermatology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.