Healthcare Provider Details

I. General information

NPI: 1912133356
Provider Name (Legal Business Name): LOWRY PEDIATRICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 E LOWRY BLVD STE 260
DENVER CO
80230-7197
US

IV. Provider business mailing address

8101 E LOWRY BLVD STE 260
DENVER CO
80230-7197
US

V. Phone/Fax

Practice location:
  • Phone: 720-859-8222
  • Fax: 720-859-9777
Mailing address:
  • Phone: 720-859-8222
  • Fax: 720-859-9777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number38848
License Number StateCO

VIII. Authorized Official

Name: DR. SCOTT MERENSTEIN
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 720-859-8222