Healthcare Provider Details

I. General information

NPI: 1366980807
Provider Name (Legal Business Name): ROBERT M LOWE MD PHD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3017 W CHARLESTON BLVD STE 50
LAS VEGAS NV
89102-1987
US

IV. Provider business mailing address

3017 W CHARLESTON BLVD STE 50
LAS VEGAS NV
89102-1987
US

V. Phone/Fax

Practice location:
  • Phone: 702-686-9239
  • Fax: 702-995-2124
Mailing address:
  • Phone: 702-686-9239
  • Fax: 702-995-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT M LOWE
Title or Position: PRESIDENT
Credential: MD, PHD
Phone: 702-686-9239