Provider Demographics
NPI:1780623439
Name:LOWELL, MARGARET (ANP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:LOWELL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 PARK ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-1238
Mailing Address - Country:US
Mailing Address - Phone:518-483-0482
Mailing Address - Fax:518-483-6727
Practice Address - Street 1:183 PARK ST
Practice Address - Street 2:SUITE 5
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1238
Practice Address - Country:US
Practice Address - Phone:518-483-0482
Practice Address - Fax:518-483-6727
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3013301363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP69564Medicare UPIN
NYDD2574Medicare PIN