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NPI Code Detail

MEDICARE: BRIAUNA MARIE LOWERY MPH

MEDICARE: BRIAUNA MARIE LOWERY MPH
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
1207PP0204XPediatric Emergency Medicine (Emergency Medicine) PhysicianME146809FL

Other Identifiers

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

General Provider Information

NPI Number : 1316478159
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAUNA MARIE LOWERY MPH
Provider Business Mailing Address
First Line : 15195 CYPRESS CAY BLVD
Second Line :
City : LUTZ
State : FL
Zip : 33559-7010
Country : US
Telephone Number : 281-309-2118
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8211
Country : US
Telephone Number : 904-202-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 10/09/2024

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