MEDICARE: JUDD A LOWREY DC, FNP-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	363LF0000X	Family Nurse Practitioner	95005728	CA
2	111N00000X	Chiropractor	DC27259	CA

General Provider Information

NPI Number	:	1306910153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDD A LOWREY DC, FNP-C

Provider Business Mailing Address
First Line	:	4909 GOLDEN FOOTHILL PARKWAY
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762
Country	:	US
Telephone Number	:	916-941-7508
Fax Number	:	916-941-7482

Provider Business Practice Location Address
First Line	:	4909 GOLDEN FOOTHILL PARKWAY
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762
Country	:	US
Telephone Number	:	916-941-7508
Fax Number	:	916-941-7482

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	03/05/2021

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