Provider Demographics
NPI:1174621320
Name:LOUWRENS, NEIL ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ANDREW
Last Name:LOUWRENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13422 TIERRA OAKS DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-8011
Mailing Address - Country:US
Mailing Address - Phone:888-633-1441
Mailing Address - Fax:530-245-4809
Practice Address - Street 1:2440 SISTER MARY COLUMBA DR STE 300
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-4356
Practice Address - Country:US
Practice Address - Phone:888-633-1441
Practice Address - Fax:888-633-1441
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6630A207R00000X
CAC52662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C52662OtherCALIFORNIA MEDICAL LICENSE NUMBER
WYCI5720Medicare PIN
CA00C526620Medicare PIN
CAH32827Medicare UPIN