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NPI Code Detail

MEDICARE: WILLIAM J LOWERY

MEDICARE:   WILLIAM J LOWERY
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
1332BX2000XOxygen Equipment & Supplies (DME)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000000OTHERN/A

General Provider Information

NPI Number : 1821554569
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J LOWERY
Provider Business Mailing Address
First Line : 4400 PARK RD STE 320
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-3139
Country : US
Telephone Number : 704-713-2475
Fax Number :
Provider Business Practice Location Address
First Line : 4400 PARK RD STE 320
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-3139
Country : US
Telephone Number : 704-713-2475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2019
Last Update Date : 02/19/2019

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Directions to “ WILLIAM J LOWERY ” Practice Location

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