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NPI Code Detail

MEDICARE: PAM K LOWRY RN

MEDICARE: PAM K LOWRY RN
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
1163W00000XRegistered Nurse332236OH
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0029790OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902002587
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAM K LOWRY RN
Provider Business Mailing Address
First Line : 525 METRO PL N STE 100
Second Line :
City : DUBLIN
State : OH
Zip : 43017-5343
Country : US
Telephone Number : 855-289-1722
Fax Number :
Provider Business Practice Location Address
First Line : 525 METRO PL N STE 100
Second Line :
City : DUBLIN
State : OH
Zip : 43017-5343
Country : US
Telephone Number : 855-289-1722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 10/18/2022

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