Healthcare Provider Details

I. General information

NPI: 1043875008
Provider Name (Legal Business Name): BOBBI-JO ELISABETH LOWIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date: 12/16/2019
Reactivation Date: 01/02/2020

III. Provider practice location address

110 S PACA STREET 6TH FLOOR SUITE 200
BALTIMORE MD
21201
US

IV. Provider business mailing address

100 E REDWOOD ST PH 10
BALTIMORE MD
21202-1394
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-2208
  • Fax: 410-328-8028
Mailing address:
  • Phone: 347-502-0839
  • Fax: 410-328-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0096962
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD0096962
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0096962
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: