MEDICARE: MR. GEORGE E LOWREY

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	237700000X	Hearing Instrument Specialist	AS2481	FL

General Provider Information

NPI Number	:	1891017083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GEORGE E LOWREY

Provider Business Mailing Address
First Line	:	7050 WINKLER RD STE 108
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-7011
Country	:	US
Telephone Number	:	239-337-4327
Fax Number	:	239-337-3276

Provider Business Practice Location Address
First Line	:	7050 WINKLER RD STE 108
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-7011
Country	:	US
Telephone Number	:	239-337-4327
Fax Number	:	239-337-3276

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

Provider Enumeration Date	:	02/16/2010
Last Update Date	:	02/16/2010

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