Provider Demographics
NPI:1356377675
Name:LOWTHER, HOLLY A (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:A
Last Name:LOWTHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:500 BLAZIER DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9528
Mailing Address - Country:US
Mailing Address - Phone:412-578-1152
Mailing Address - Fax:412-605-6669
Practice Address - Street 1:500 BLAZIER DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9528
Practice Address - Country:US
Practice Address - Phone:412-578-1152
Practice Address - Fax:412-605-6669
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD428600207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022567150001Medicaid
PA101817NJ7Medicare PIN
PA101817PL2Medicare PIN