Individual
DR. LOWELL F ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 KENTUCKY AVE, SUITE 301, PADUCAH, KY 42003-3817
(270) 575-3113
(270) 575-3135
Mailing address
PO BOX 7648, PADUCAH, KY 42002-7648
(270) 575-3113
(270) 575-3135
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13938
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020-02-64-058
—
IL
01
—
2125
KENTUCKY BLS PROVIDER
KY
01
—
610976324003
CHAMPUS ID #
KS
05
—
64139389
—
KY
Enumeration date
07/06/2006
Last updated
07/09/2007
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