Healthcare Provider Details

I. General information

NPI: 1245164714
Provider Name (Legal Business Name): WARREN LOWERY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 MELLON ST SE APT 1
WASHINGTON DC
20032-2538
US

IV. Provider business mailing address

1408 CHILLUM RD
HYATTSVILLE MD
20782-2433
US

V. Phone/Fax

Practice location:
  • Phone: 240-863-7551
  • Fax:
Mailing address:
  • Phone: 202-471-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: