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Individual

DR. STANLEY LOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4476 TWEEDY BLVD, SOUTH GATE, CA 90280-6359
(323) 563-9499
(323) 563-0956
Mailing address
75 REMITTANCE DR, DEPT 6008, CHICAGO, IL 60675-6008
(562) 282-1419
(562) 920-4642

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3480
CA
213E00000X
Podiatrist
E3480
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00E34800
BLUE SHIELD
CA
05
00E34800
CA
01
480032973
MEDICARE RAILROAD
CA
Enumeration date
08/15/2006
Last updated
07/15/2016
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