Organization
LOWELL PROFESSIONAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBERT FRASER M.D. (OWNER)
(561) 573-8343
Entity
Organization
Contact information
Practice address
4821 S LAKE DR, BOYNTON BEACH, FL 33436-5910
(561) 573-8343
Mailing address
4821 S LAKE DR, BOYNTON BEACH, FL 33436-5910
(561) 573-8343
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME44458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02742
BCBS
FL
Enumeration date
11/13/2013
Last updated
11/13/2013
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