MEDICARE: DR. JESSICA MARIE LOWTHER M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	290108	NY
2	207Q00000X	Family Medicine Physician	56867	CT
3	207Q00000X	Family Medicine Physician	MD15984	RI
4	207Q00000X	Family Medicine Physician	MD462316	PA
5	207Q00000X	Family Medicine Physician	C1-0012387	DE
6	207Q00000X	Family Medicine Physician	01079449A	IN
7	207Q00000X	Family Medicine Physician	273182	MA
8	207Q00000X	Family Medicine Physician	D0074735	MD
9	207Q00000X	Family Medicine Physician	4301113564	MI
10	207Q00000X	Family Medicine Physician	25MA10174400	NJ

NPI Number	:	1306075932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA MARIE LOWTHER M.D.

Provider Business Mailing Address
First Line	:	8210 COLONIAL LN
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-5721
Country	:	US
Telephone Number	:	301-585-1250
Fax Number	:

Provider Business Practice Location Address
First Line	:	8210 COLONIAL LN
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-5721
Country	:	US
Telephone Number	:	301-585-1250
Fax Number	:

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

Provider Enumeration Date	:	07/02/2009
Last Update Date	:	10/22/2019

8630 FENTON ST, #1200
SILVER SPRING, MD
20910-5721

Practice Phone: 301-585-1250
Practice Fax: 301-585-6289