Basic Information
| Provider Information | |||||||||
| NPI: | 1538138904 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOWERY | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4901 COTTAGE GROVE RD | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537161392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6082211501 | ||||||||
| FaxNumber: | 6082233540 | ||||||||
| Practice Location | |||||||||
| Address1: | 4901 COTTAGE GROVE RD | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537161392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6082211501 | ||||||||
| FaxNumber: | 6082233540 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2006 | ||||||||
| LastUpdateDate: | 11/02/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 47457 | WI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.