Healthcare Provider Details

I. General information

NPI: 1306249016
Provider Name (Legal Business Name): JAMES LOWERY M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2014
Last Update Date: 10/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5549 HIGHWAY K
BRIGHTON MO
65617-7256
US

IV. Provider business mailing address

5549 HIGHWAY K
BRIGHTON MO
65617-7256
US

V. Phone/Fax

Practice location:
  • Phone: 417-376-2238
  • Fax: 417-376-2014
Mailing address:
  • Phone: 417-376-2238
  • Fax: 417-376-2014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: