MEDICARE: JOY LOWRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	336203	NY

General Provider Information

NPI Number	:	1417538307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY LOWRY

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 HAGEN DR STE 300
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2660
Country	:	US
Telephone Number	:	585-922-9770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	03/26/2026

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Directions to “ JOY LOWRY ” Practice Location

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