Individual
ISAAC EDWIN LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
916 N WASHINGTON STREET, DU QUOIN, IL 62832
(618) 790-7401
Mailing address
1325 E CHURCH ST STE 202, SANTA MARIA, CA 93454-5915
(805) 346-3456
(805) 346-3454
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036162919
IL
208600000X
Surgery Physician
G55370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B003
TRICARE
—
05
—
OOG553700
—
CA
Enumeration date
12/07/2005
Last updated
03/13/2024
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