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NPI Code Detail

MEDICARE: JAKE LOWE D.C.

MEDICARE: JAKE LOWE D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0104558034VA

General Provider Information

NPI Number : 1043744949
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAKE LOWE D.C.
Provider Business Mailing Address
First Line : 2101 E PARHAM RD STE 103
Second Line :
City : HENRICO
State : VA
Zip : 23228-2234
Country : US
Telephone Number : 813-466-4994
Fax Number : 813-315-6436
Provider Business Practice Location Address
First Line : 2101 E PARHAM RD STE 103
Second Line :
City : HENRICO
State : VA
Zip : 23228-2234
Country : US
Telephone Number : 813-466-4994
Fax Number : 813-315-6436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2017
Last Update Date : 04/11/2026

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