Healthcare Provider Details

I. General information

NPI: 1831062314
Provider Name (Legal Business Name): LYNANN M LOWRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 LOUISA ST STE 205
LANSING MI
48911-5200
US

IV. Provider business mailing address

129 SOUTHSHORE DR
BAY CITY MI
48706-5373
US

V. Phone/Fax

Practice location:
  • Phone: 313-497-2665
  • Fax: 313-583-2007
Mailing address:
  • Phone: 989-220-8202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: