Individual
KEVIN LOWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 GRAVES MILL RD, FOREST, VA 24551-3967
(434) 385-5600
Mailing address
PO BOX 45923, BALTIMORE, MD 21297-5923
(877) 969-0392
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101269195
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
12/13/2021
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