Individual
AMANDA MARIE LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Mailing address
136 FAIRVIEW BLVD, CIRCLEVILLE, OH 43113-1521
(740) 248-8083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310935440
—
OH
Enumeration date
11/05/2018
Last updated
05/24/2021
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