MEDICARE: NICOLE T LOWE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	BL6168442	IL
2	207Q00000X	Family Medicine Physician	036101859	IL
3	207Q00000X	Family Medicine Physician	54499	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080172806	OTHER	IL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	441397	OTHER		HEALTHLINK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	38398	OTHER		GROUP HEALTH PLAN
5	0100970	OTHER		UNITED HEALTHCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	4622029	OTHER	IL	ADMINISTAR
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023014438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE T LOWE M.D.

Provider Business Mailing Address
First Line	:	9855 HOSPITAL DRIVE
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369
Country	:	US
Telephone Number	:	763-581-9220
Fax Number	:	763-581-9221

Provider Business Practice Location Address
First Line	:	9855 HOSPITAL DR
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-4648
Country	:	US
Telephone Number	:	763-581-9220
Fax Number	:	763-581-9221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/30/2013

Similar Medicare Providers

1457910341 — KATIE MARIE CLABO
Practice Location Address:

9875 HOSPITAL DR
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-1000
Practice Fax:

1881690097 — MINNESOTA NEONATAL PHYSICIANS PA
Practice Location Address:

9875 HOSPITAL DR
MAPLE GROVE, MN
55369-4648

Practice Phone: 612-322-6903
Practice Fax:

1073597381 — DR. MARK S HENCH M.D.
Practice Location Address:

9855 HOSPITAL DR , STE 102A
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-9220
Practice Fax:

1356312722 — MR. AHMED ALI OMAR M.D.
Practice Location Address:

9875 HOSPITAL DR , SUITE 3009
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-1370
Practice Fax: 763-581-3007

1336117480 — MAISA ALVES PEBBLES CNP
Practice Location Address:

9855 HOSPITAL DR STE 102A
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-9220
Practice Fax: 763-581-9221

1346286838 — LESLEE J JAEGER M.D.
Practice Location Address:

9875 HOSPITAL DR
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-1100
Practice Fax:

Directions to “ NICOLE T LOWE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.