Individual
DR. LOWELL EDMUND KOBRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD MD
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-0191
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-0191
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MD11272
OR
208D00000X
General Practice Physician
MD11272
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005892
—
OR
01
—
1407812365
NBMC NPI NUMBER-GROUP
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
P00389909
RR MEDICARE PTAN NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
12/06/2005
Last updated
04/14/2010
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