Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME0065629 | FL |
NPI | 1295733707 |
---|---|
Provider Name | Troy David Lowell |
First Address | Gainesville, FL 32607-2245 |
Second Address | Ocala, FL 34471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 27/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25709V | (02) | |
376571700 | (05) | FL |
F70845 | (02) | FL |