Individual
JED W LOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1878 MOUNTAIN ROAD, STOWE, VT 05672
(802) 253-4853
(802) 253-2587
Mailing address
PO BOX 749, MORRISVILLE, VT 05661-0749
(802) 851-8603
(802) 851-8313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010011353
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053 19065
VERMONT MANAGED CARE
VT
01
—
362870
MVP
VT
01
—
6795901
FLETCHER ALLEN PREFERRED
VT
05
—
ONP0514
—
VT
Enumeration date
06/07/2006
Last updated
02/16/2012
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