Provider Demographics
NPI:1154314755
Name:LOWREY, JEFFREY HARRIS (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:HARRIS
Last Name:LOWREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 NOTTING CREEK CV
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-8009
Mailing Address - Country:US
Mailing Address - Phone:901-351-3100
Mailing Address - Fax:901-757-2249
Practice Address - Street 1:8071 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8206
Practice Address - Country:US
Practice Address - Phone:901-756-6056
Practice Address - Fax:901-624-0702
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3823164Medicare PIN
MS512I080141Medicare PIN