Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME0080640 | FL |
NPI | 1295921054 |
---|---|
Provider Name | Nathaniel A Lowen |
First Address | Boca Raton, FL 33496-2658 |
Second Address | Boca Raton, FL 33496-2658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 04/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G69173 | (02) | FL |