Provider Demographics
NPI:1871551077
Name:SHERRIS, LOWELL JAY (MD)
Entity type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:JAY
Last Name:SHERRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7886 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4710
Mailing Address - Country:US
Mailing Address - Phone:954-752-6465
Mailing Address - Fax:954-752-6591
Practice Address - Street 1:7886 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33065-4710
Practice Address - Country:US
Practice Address - Phone:954-752-6465
Practice Address - Fax:954-752-6591
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0034779207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
40775Medicare ID - Type Unspecified
B13298Medicare UPIN