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NPI Code Detail

MEDICARE: BRAUN R. LOWERY LCDC II/QMHS

MEDICARE: BRAUN R. LOWERY LCDC II/QMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor162176OH

General Provider Information

NPI Number : 1083114474
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAUN R. LOWERY LCDC II/QMHS
Provider Business Mailing Address
First Line : 910 SOUTH ST
Second Line :
City : GREENFIELD
State : OH
Zip : 45123-1249
Country : US
Telephone Number : 877-997-3224
Fax Number :
Provider Business Practice Location Address
First Line : 910 SOUTH ST
Second Line :
City : GREENFIELD
State : OH
Zip : 45123-1249
Country : US
Telephone Number : 877-997-3224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2018
Last Update Date : 12/15/2025

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