MEDICARE: DR. LOWRY C SHROPSHIRE 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	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician	0101030250	VA

General Provider Information

NPI Number	:	1578564985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOWRY C SHROPSHIRE MD

Provider Business Mailing Address
First Line	:	5718 GLAMIS DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-4153
Country	:	US
Telephone Number	:	703-971-2341
Fax Number	:

Provider Business Practice Location Address
First Line	:	NNMC / PEDIATRICS
Second Line	:	8901 WISCONSIN AVE
City	:	BETHESDA
State	:	MD
Zip	:	20889-0001
Country	:	US
Telephone Number	:	301-295-4917
Fax Number	:	301-295-5069

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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