Provider Demographics
NPI:1538381140
Name:AMY K. LOWERY, D.O. LLC
Entity type:Organization
Organization Name:AMY K. LOWERY, D.O. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-327-3522
Mailing Address - Street 1:40330 KELLY PARK RD
Mailing Address - Street 2:
Mailing Address - City:LEETONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44431-9639
Mailing Address - Country:US
Mailing Address - Phone:330-327-3533
Mailing Address - Fax:
Practice Address - Street 1:15613 PINEVIEW DR
Practice Address - Street 2:SUITE A
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9667
Practice Address - Country:US
Practice Address - Phone:330-385-9670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007656207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty