Lisa M Lowery
Pediatrician Adolescent Medicine
330 Barclay Ave Ne Ste. 203
Grand Rapids
, Michigan 49503-2556
Lisa M Lowery
Pediatrician Adolescent Medicine
330 Barclay Ave Ne Ste. 203
Grand Rapids
, Michigan 49503-2556
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Lisa M Lowery
- 100 Michigan St Ne Mc 845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Lisa M Lowery
- 330 Barclay Ave Ne Ste. 203
- Grand Rapids, MI
- Zip : 49503-2556
- Fax : (616) 391-3574
- Phone : (616) 391-2123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 4301070056 | MI |
| Y | 2080A0000X | Adolescent Medicine | 4301070056 | MI |
National Provider Identifier
| NPI | 1235119975 |
|---|---|
| Provider Name | Lisa M Lowery |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-2556 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2006 |
| Last Update Date | 25/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.