Healthcare Provider Details

I. General information

NPI: 1033030861
Provider Name (Legal Business Name): LOWE MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3206 TOWER OAKS BLVD STE 345
ROCKVILLE MD
20852-4254
US

IV. Provider business mailing address

3206 TOWER OAKS BLVD STE 345
ROCKVILLE MD
20852-4254
US

V. Phone/Fax

Practice location:
  • Phone: 716-329-7639
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS LOWE
Title or Position: DERMATOLOGIST
Credential: MD
Phone: 585-410-3357