MEDICARE: JAMIE B LOWE MD

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	208800000X	Urology Physician	41870	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00074337	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	L0669968	OTHER		BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194795195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE B LOWE MD

Provider Business Mailing Address
First Line	:	PO BOX 2241
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81602-2241
Country	:	US
Telephone Number	:	970-945-1443
Fax Number	:	970-947-9410

Provider Business Practice Location Address
First Line	:	1830 BLAKE AVE
Second Line	:	#206
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601
Country	:	US
Telephone Number	:	970-928-0808
Fax Number	:	970-928-7591

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

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