MEDICARE: DR. MARY KRISTEN LOWRY MD

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	207V00000X	Obstetrics & Gynecology Physician	BP10029237	TX
2	2085N0904X	Nuclear Radiology Physician	51283	CO
3	2085R0204X	Vascular & Interventional Radiology Physician	51283	CO
4	2085R0202X	Diagnostic Radiology Physician	51283	CO

General Provider Information

NPI Number	:	1548451727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY KRISTEN LOWRY MD

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 S COLORADO BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-7900
Country	:	US
Telephone Number	:	720-848-0000
Fax Number	:

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

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	07/23/2024

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