Provider Demographics
NPI:1770879520
Name:LOWERY, JOHN J (DO, PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:LOWERY
Suffix:
Gender:M
Credentials:DO, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 US ROUTE 1 STE 103
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6817
Mailing Address - Country:US
Mailing Address - Phone:207-671-5128
Mailing Address - Fax:
Practice Address - Street 1:500 US ROUTE 1 STE 103
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6817
Practice Address - Country:US
Practice Address - Phone:207-671-5128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDO2400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine