MEDICARE: JOHN 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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	35-086058	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0127464	OTHER	OH	BCMH
2	1829978	OTHER	OH	UHC
3	000000370606	OTHER	OH	ANTHEM
4	4661007	OTHER	OH	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000000528771	OTHER	OH	ANTHEM
7	363782	OTHER	OH	WELLCARE

General Provider Information

NPI Number	:	1265468961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN B LOWE MD

Provider Business Mailing Address
First Line	:	9 GOLDPOPPY CIR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87506-9529
Country	:	US
Telephone Number	:	650-303-4273
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 GOLDPOPPY CIR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87506-9529
Country	:	US
Telephone Number	:	650-303-4273
Fax Number	:

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

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	08/20/2019

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Directions to “ JOHN B LOWE MD” Practice Location

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