Individual
LISA M LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BARCLAY AVE NE, STE. 203, GRAND RAPIDS, MI 49503-2556
(616) 391-2123
(616) 391-3574
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301070056
MI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301070056
MI
Other
Enumeration date
01/19/2006
Last updated
02/25/2021
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