Organization
VICKIE C. LOWE, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKIE CAROL LOWE M.D. (OWNER)
(270) 769-3100
Entity
Organization
Contact information
Practice address
134 HEARTLAND DR, ELIZABETHTOWN, KY 42701-2778
(270) 769-3100
(270) 234-0753
Mailing address
134 HEARTLAND DR, ELIZABETHTOWN, KY 42701-2778
(270) 769-3100
(270) 234-0753
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050299
ANTHEM
KY
01
—
1048984
PASSPORT
KY
01
—
163857500
DEPARTMENT OF LABOR
KY
01
—
2432324000
PASSPORT ADVANTAGE
KY
01
—
250006816
RAILROAD MEDICARE
KY
05
—
64276355
—
KY
Enumeration date
03/22/2010
Last updated
06/25/2010
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