MEDICARE: DR. ROBERT EDWARD LOWERS DDS

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
1	122300000X	Dentist	0311	CO

General Provider Information

NPI Number	:	1154322725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT EDWARD LOWERS DDS

Provider Business Mailing Address
First Line	:	1860 LARIMER
Second Line	:	STE 375
City	:	DENVER
State	:	CO
Zip	:	80202
Country	:	US
Telephone Number	:	303-296-2059
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 LARIMER
Second Line	:	STE 375
City	:	DENVER
State	:	CO
Zip	:	80202
Country	:	US
Telephone Number	:	303-296-2059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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