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NPI Code Detail

MEDICARE: LISA LOWERY MD INC

MEDICARE: LISA LOWERY MD INC
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
1332B00000XDurable Medical Equipment & Medical Supplies35066309OH

General Provider Information

NPI Number : 1821276437
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISA LOWERY MD INC
Provider Business Mailing Address
First Line : 10400 BLACKLICK EASTERN RD
Second Line : SUITE 110
City : PICKERINGTON
State : OH
Zip : 43147-8235
Country : US
Telephone Number : 614-729-6900
Fax Number : 614-224-8557
Provider Business Practice Location Address
First Line : 10400 BLACKLICK EASTERN RD
Second Line : SUITE 110
City : PICKERINGTON
State : OH
Zip : 43147-8235
Country : US
Telephone Number : 614-729-6900
Fax Number : 614-224-8557
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. KARL OSBORN
Credential :
Telephone Number : 614-729-6900
Provider Enumeration Date : 02/06/2008
Last Update Date : 07/28/2014

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Directions to “LISA LOWERY MD INC ” Practice Location

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