Basic Information
| Provider Information | |||||||||
| NPI: | 1679555114 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOWRY | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 825 S BUSINESS HIGHWAY 13 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | MO | ||||||||
| PostalCode: | 640671515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6602592440 | ||||||||
| FaxNumber: | 6602510524 | ||||||||
| Practice Location | |||||||||
| Address1: | 608 MISSOURI ST | ||||||||
| Address2: | |||||||||
| City: | WAVERLY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 640968241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6604932262 | ||||||||
| FaxNumber: | 6604932796 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2005 | ||||||||
| LastUpdateDate: | 10/03/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | R5H12 | MO | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.