Provider Demographics
NPI:1235946872
Name:LOWERY, ROBERT EARL
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:EARL
Last Name:LOWERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 MCMAHON AVE # 68147
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68147-1848
Mailing Address - Country:US
Mailing Address - Phone:402-541-9998
Mailing Address - Fax:
Practice Address - Street 1:3910 MCMAHON AVE # 68147
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68147-1848
Practice Address - Country:US
Practice Address - Phone:402-541-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion