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NPI Code Detail

MEDICARE: BRIAN MICHAEL LOWERY CRNA

MEDICARE: BRIAN MICHAEL LOWERY CRNA
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
1367500000XCertified Registered Nurse Anesthetist0024179282VA

General Provider Information

NPI Number : 1992181515
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN MICHAEL LOWERY CRNA
Provider Business Mailing Address
First Line : 16200 BINLEY RD
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-1740
Country : US
Telephone Number : 301-606-6104
Fax Number :
Provider Business Practice Location Address
First Line : 1602 SKIPWITH RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5298
Country : US
Telephone Number : 804-289-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2015
Last Update Date : 09/21/2022

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