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NPI Code Detail

MEDICARE: LORI-ANN LOWE

MEDICARE:   LORI-ANN  LOWE
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
1174400000XSpecialist925431161NY

General Provider Information

NPI Number : 1376921676
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI-ANN LOWE
Provider Business Mailing Address
First Line : 1304 NEW YORK AVE
Second Line : APT 6F
City : BROOKLYN
State : NY
Zip : 11203-6156
Country : US
Telephone Number : 646-388-0191
Fax Number :
Provider Business Practice Location Address
First Line : 1304 NEW YORK AVE
Second Line : APT 6F
City : BROOKLYN
State : NY
Zip : 11203-6156
Country : US
Telephone Number : 646-388-0191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2015
Last Update Date : 05/07/2015

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Directions to “ LORI-ANN LOWE ” Practice Location

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