Healthcare Provider Details

I. General information

NPI: 1003200023
Provider Name (Legal Business Name): MEGAN MAUREEN LOWERY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E MOUNTAIN BLVD
WILKES BARRE PA
18711-0028
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-808-5770
  • Fax: 570-808-6362
Mailing address:
  • Phone: 570-808-5770
  • Fax: 570-808-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD488480
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD488480
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD488480
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: