Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 20612 | OK |
Y | 208600000X | Surgeon | 20612 | OK |
N | 208200000X | Surgeon | 20612 | OK |
N | 208600000X | Surgeon | 20612 | OK |
N | 2086S0105X | Surgery of the Hand | 20612 | OK |
NPI | 1932136801 |
---|---|
Provider Name | James B. Lowe III |
First Address | Oklahoma City, OK 73196-0284 |
Second Address | Oklahoma City, OK 73112-7163 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 26/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200084460A | (05) | OK |
H13862 | (02) |