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NPI Code Detail

MEDICARE: NATHAN JOHN LOWRY

MEDICARE: NATHAN JOHN LOWRY
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
1174400000XSpecialist

General Provider Information

NPI Number : 1093667313
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN JOHN LOWRY
Provider Business Mailing Address
First Line : 511 47TH AVE APT 10F
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-5975
Country : US
Telephone Number : 347-481-5647
Fax Number :
Provider Business Practice Location Address
First Line : 511 47TH AVE APT 10F
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-5975
Country : US
Telephone Number : 347-481-5647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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