Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | G33258 | CA |
NPI | 1003841370 |
---|---|
Provider Name | Robert N Lowe |
First Address | Grass Valley, CA 95945-4207 |
Second Address | Grass Valley, CA 95945-4207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A45480 | (02) | CA |