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General NPI Number Information
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NPI Number | 1184848368
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Entity Type | Individual
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Provider Name | MATTHEW LOWE D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 3275 S JOHN YOUNG PKWY # 732
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City | KISSIMMEE
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State | FL
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Zip | 34746-6556
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Country | US
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Telephone | 614-250-0360
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 FISHINGER BLVD 110
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City | HILLIARD
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State | OH
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Zip | 43026-2000
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Country | US
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Telephone | 614-664-3595
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Fax | 614-929-3615
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS18201
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 34.009845
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34.009845
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License Number State | OH
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