Healthcare Provider Details

I. General information

NPI: 1639146418
Provider Name (Legal Business Name): DARRIN LOWE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 MACDONALD AVE
RICHMOND CA
94805-2244
US

IV. Provider business mailing address

3838 MACDONALD AVE
RICHMOND CA
94805-2244
US

V. Phone/Fax

Practice location:
  • Phone: 510-234-8355
  • Fax: 510-234-8358
Mailing address:
  • Phone: 510-234-8355
  • Fax: 510-234-8358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: