Healthcare Provider Details

I. General information

NPI: 1427156934
Provider Name (Legal Business Name): ROSEMARY MARGARET LOWRY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16001 W 9 MILE RD
SOUTHFIELD MI
48075-4818
US

IV. Provider business mailing address

8316 PARK AVE
ALLEN PARK MI
48101-1736
US

V. Phone/Fax

Practice location:
  • Phone: 248-849-3490
  • Fax: 248-849-2078
Mailing address:
  • Phone: 313-382-0364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704199498
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: