Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 16697 | NV |
NPI | 1053360693 |
---|---|
Provider Name | Dr. Robert Michael Lowe |
First Address | Las Vegas, NV 89102-1987 |
Second Address | Las Vegas, NV 89102-1987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 26/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16697 | NEVADA MEDICAL LICENSE (01) | NV |
V114753 | (02) | NV |