MEDICARE: STEVEN MICHAEL LOWRY D.O.

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	207Q00000X	Family Medicine Physician	MB066442	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285637223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MICHAEL LOWRY D.O.

Provider Business Mailing Address
First Line	:	220 PINE ST
Second Line	:
City	:	WILLIAMSTOWN
State	:	NJ
Zip	:	08094-1137
Country	:	US
Telephone Number	:	856-629-7436
Fax Number	:	856-875-4742

Provider Business Practice Location Address
First Line	:	220 PINE ST
Second Line	:
City	:	WILLIAMSTOWN
State	:	NJ
Zip	:	08094-1137
Country	:	US
Telephone Number	:	856-629-7436
Fax Number	:	856-875-4742

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/08/2007

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