Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 105476 | MO |
N | 2086S0102X | Surgical Critical Care | 105476 | MO |
N | 2086S0120X | Pediatric Surgery | 105476 | MO |
N | 2086X0206X | Surgical Oncologist | 105476 | MO |
NPI | 1619908126 |
---|---|
Provider Name | Dr. Jeffrey A Lowell |
First Address | Washington, DC 20037-1898 |
Second Address | Washington, DC 20037-1898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 30/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
075010181 | (05) | MO |