# LOWRY MEDICAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 11050
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922371442
- **Legal business name:** 11050
- **Authorized official:** DR. SLATER BENJAMIN LOWRY MD PLLC (DOCTOR)
- **Authorized official phone:** (662) 244-8864

## Contact information

- **Practice address:** 362 PARK CREEK DRIVE, COLUMBUS, MS 39705
- **Practice address phone:** (662) 244-8864
- **Practice address fax:** (662) 328-4149
- **Mailing address:** 362 PARK CREEK DRIVE, COLUMBUS, MS 39705
- **Mailing address phone:** (662) 244-8864
- **Mailing address fax:** (662) 328-4149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 11050 | MS | Yes |

## Other

- **Enumeration date:** 02/14/2012
- **Last updated:** 02/14/2012