Provider Demographics
NPI:1356386296
Name:LOWMAN, GERALD F (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:F
Last Name:LOWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2111 WASHINGTON BLVD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3803
Mailing Address - Country:US
Mailing Address - Phone:610-250-4595
Mailing Address - Fax:610-250-4972
Practice Address - Street 1:2111 WASHINGTON BLVD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3803
Practice Address - Country:US
Practice Address - Phone:610-250-4595
Practice Address - Fax:610-250-4972
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020908E207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010575720007Medicaid
PA1057572Medicaid
PA117823OtherBLUE SHIELD
PA117823V8GMedicare PIN
PA1057572Medicaid
PA117823V8GMedicare PIN