Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 35-070878 | OH |
NPI | 1346218179 |
---|---|
Provider Name | Andrew Lowy |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-8996 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 09/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0265083 | (05) | OH |
F69230 | (02) | OH |