Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251C2600X | Cardiopulmonary | PTH4685 | AL |
NPI | 1033659867 |
---|---|
Provider Name | John David Lowman |
First Address | Birmingham, AL 35294-1212 |
Second Address | Birmingham, AL 35294-1212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2017 |
Last Update Date | 27/02/2017 |