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NPI Code Detail

MEDICARE: BARBARA LOWERY

MEDICARE: BARBARA LOWERY
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1821312869
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA LOWERY
Provider Business Mailing Address
First Line : PO BOX 1559
Second Line :
City : BARTOW
State : FL
Zip : 33831-1559
Country : US
Telephone Number : 863-519-0575
Fax Number :
Provider Business Practice Location Address
First Line : 715 N LAKE AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33801-1908
Country : US
Telephone Number : 863-519-0575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2010
Last Update Date : 03/19/2010

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Directions to “ BARBARA LOWERY ” Practice Location

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