MEDICARE: DR. TREVOR ALLAN LOWRY D.C.

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
1	111N00000X	Chiropractor	6263125-1202	UT

General Provider Information

NPI Number	:	1104837848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TREVOR ALLAN LOWRY D.C.

Provider Business Mailing Address
First Line	:	1104 ASHTON AVE
Second Line	:	STE 203
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4504
Country	:	US
Telephone Number	:	801-521-0471
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 ASHTON AVE
Second Line	:	STE 203
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4504
Country	:	US
Telephone Number	:	801-521-0471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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