Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DC034234 | CA |
Y | 213EG0000X | General Practice | DC034234 | CA |
NPI | 1003046848 |
---|---|
Provider Name | Dr. Lowell Thomas |
First Address | Fremont, CA 94539-7977 |
Second Address | Fremont, CA 94539-7977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 14/07/2009 |