Provider Demographics
NPI:1467339366
Name:LOWLLUN, JENIFER M (CERTIFIED PEER)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:M
Last Name:LOWLLUN
Suffix:
Gender:F
Credentials:CERTIFIED PEER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 HAMPSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-2932
Mailing Address - Country:US
Mailing Address - Phone:248-659-8003
Mailing Address - Fax:
Practice Address - Street 1:26354 WOLVERINE ST
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3714
Practice Address - Country:US
Practice Address - Phone:586-230-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist