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NPI Code Detail

MEDICARE: ERIKA LOWERY

MEDICARE: ERIKA LOWERY
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1245980317
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA LOWERY
Provider Business Mailing Address
First Line : 423 FEDERAL HILL RD
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-2245
Country : US
Telephone Number : 904-551-8208
Fax Number :
Provider Business Practice Location Address
First Line : 6639 SOUTHPOINT PKWY STE 108
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8042
Country : US
Telephone Number : 904-438-7640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 03/24/2022

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Directions to “ ERIKA LOWERY ” Practice Location

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