Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD017012E | PA |
NPI | 1194723163 |
---|---|
Provider Name | Dr. Lee Dickinson Rowe |
First Address | Phila, PA 19129-1302 |
Second Address | Phila, PA 19134-4433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 08/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000813272 | (05) | PA |
A47078 | (02) | PA |