# LOWELL MEDICAL SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508034141
- **Authorized official:** MARY DAWSON (OFFICE MANAGER)
- **Authorized official phone:** (616) 897-8436

## Contact information

- **Practice address:** 1150 N HUDSON ST, LOWELL, MI 49331-1000
- **Practice address phone:** (616) 897-8436
- **Practice address fax:** (616) 897-5364
- **Mailing address:** 1150 N HUDSON ST, LOWELL, MI 49331-1000
- **Mailing address phone:** (616) 897-8436
- **Mailing address fax:** (616) 897-5364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301050027 | MI | Yes |
| 207R00000X | Internal Medicine Physician | 4301063084 | MI | — |
| 208000000X | Pediatrics Physician | 4301050027 | MI | — |
| 208000000X | Pediatrics Physician | 4301063084 | MI | — |

## Other

- **Enumeration date:** 02/18/2008
- **Last updated:** 04/25/2008