Angelique S Cook Lowry, DOM

Individual provider Active NPI Acupuncturist · Corrales, NM

NPI 1801020516 · NPPES record last updated May 8, 2009

Key facts

NPI
1801020516
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
116RX (NM)
Practice address
7 Camino de Las Brisas
Corrales, NM 87048-6919
Phone
(505) 280-9965
Fax
(505) 898-1438
NPI assigned
May 8, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116RXNMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Angelique S. Cook-Lowry, D.O.M., PA Acupuncturist Past Accepting new patients
Angelique S. Cook-Lowry Dom, PA Acupuncturist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 116RX NM Yes

Addresses

Primary practice location

7 Camino de Las Brisas
Corrales, NM 87048-6919

Mailing address

PO Box 3863
Albuquerque, NM 87190-3863
Phone (505) 280-8865

Other identifiers

IdentifierTypeStateIssuer
13720OtherNMPRESBYTERIAN
NM01R481OtherNMBLUE CROSS BLUE SHIELD

Other providers in Corrales, NM

All providers in Corrales, NM · Acupuncturist in New Mexico

Sources for this page

Verify at the official NPI Registry.