Individual
DAVID S LOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
595 BRIGHTON AVE, PORTLAND, ME 04102-2322
(207) 210-6700
(207) 899-3239
Mailing address
595 BRIGHTON AVE, PORTLAND, ME 04102-2322
(207) 210-6700
(207) 899-3239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ME534T
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010418779
TAX ID #
ME
01
—
011375
ANTHEM
ME
Enumeration date
09/26/2006
Last updated
09/05/2012
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