MEDICARE: DON LOWELL BOWERS DO

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	34-00-6372	OH

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	:	1356394688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON LOWELL BOWERS DO

Provider Business Mailing Address
First Line	:	15515 CLARIDON TROY RD
Second Line	:	P.O.BOX 804
City	:	BURTON
State	:	OH
Zip	:	44021-9644
Country	:	US
Telephone Number	:	440-834-1583
Fax Number	:

Provider Business Practice Location Address
First Line	:	3909 ORANGE PL
Second Line	:	STE 2100
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4478
Country	:	US
Telephone Number	:	216-896-1800
Fax Number	:

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	01/13/2021

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Directions to “ DON LOWELL BOWERS DO” Practice Location

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