Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 17126 | CO |
NPI | 1043340813 |
---|---|
Provider Name | Dr. Christopher Ryan Lowe |
First Address | Denver, CO 80247-5104 |
Second Address | Denver, CO 80247-5104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 26/10/2007 |