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General NPI Number Information
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NPI Number | 1215945928
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Entity Type | Individual
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Provider Name | JOHN MICHAEL LOWERY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-524-4166
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Fax | 719-524-4183
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Provider Business Mailing Address
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Address Line | 1650 COCHRANE CIR
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-524-4166
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Fax | 719-524-4183
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301054136
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | CDRH.0050265
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License Number State | CO
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