MEDICARE: MICHAEL J LOWNEY D.O.

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	51365	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	J02532	OTHER	MA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J02532	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1801946926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J LOWNEY D.O.

Provider Business Mailing Address
First Line	:	2081 CENTRE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02132-3313
Country	:	US
Telephone Number	:	617-325-0365
Fax Number	:

Provider Business Practice Location Address
First Line	:	2081 CENTRE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02132-3313
Country	:	US
Telephone Number	:	617-325-0365
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	11/13/2007

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