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NPI Code Detail

MEDICARE: MS. DIANA RENEE LOWERY NP

MEDICARE:  MS. DIANA RENEE LOWERY  NP
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
1363LF0000XFamily Nurse Practitioner6990TN

General Provider Information

NPI Number : 1952562720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANA RENEE LOWERY NP
Provider Business Mailing Address
First Line : 1 BETHEL VALLEY RD
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-8050
Country : US
Telephone Number : 865-574-7431
Fax Number :
Provider Business Practice Location Address
First Line : 1 BETHEL VALLEY RD
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-8050
Country : US
Telephone Number : 865-574-7431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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