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NPI Code Detail

MEDICARE: BRYAN P LOWRY DC

MEDICARE: BRYAN P LOWRY DC
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
1111N00000XChiropractor010400744VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10104000744OTHERVAVA STATE LICENSE #

General Provider Information

NPI Number : 1386749190
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN P LOWRY DC
Provider Business Mailing Address
First Line : 3536 GROVE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2200
Country : US
Telephone Number : 804-359-1768
Fax Number : 804-359-8344
Provider Business Practice Location Address
First Line : 3536 GROVE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2200
Country : US
Telephone Number : 804-673-9355
Fax Number : 804-359-8344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 12/27/2012

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Directions to “ BRYAN P LOWRY DC” Practice Location

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