Individual
DR. LOWELL THOMAS NIEBAUM
Active
Individual
DR. LOWELL THOMAS NIEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2576
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200002160
R.R. MEDICARE
—
05
—
2002357
—
NV
01
—
4297372
AETNA
—
01
—
NV2576
BXBS
—
Enumeration date
01/05/2006
Last updated
10/21/2011
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