Provider Demographics
NPI:1417284647
Name:LOWRANCE, MATTHEW DAVID (DO)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DAVID
Last Name:LOWRANCE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1275 DICK LONAS RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1382
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:5491 CREEKWOOD PARK BLVD
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-1204
Practice Address - Country:US
Practice Address - Phone:800-500-4667
Practice Address - Fax:833-448-2983
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2024-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIL1624782207W00000X
TN2191207W00000X
OK5879207W00000X
TNDO0000002191207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology