Organization
JONATHAN LOWELL, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LOWELL (OWNER)
(518) 483-1120
Entity
Organization
Contact information
Practice address
130 PARK ST, MALONE, NY 12953-1250
(518) 483-1120
Mailing address
130 PARK ST, MALONE, NY 12953-1250
(518) 483-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
134140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00632655
—
NY
Enumeration date
09/27/2007
Last updated
09/28/2007
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