Individual
DANIEL KINGSLEY LOWE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 736-1195
(360) 736-4952
Mailing address
1720 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 736-1195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00042755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173925
LABOR & INDUSTRIES
WA
01
—
7063LO
BLUE SHIELD
WA
05
—
8361834
—
WA
01
—
P00065462
RR MEDICARE
—
Enumeration date
05/11/2006
Last updated
07/08/2007
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