Individual
NICHOLAS LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5373 W LAKE PARK BLVD, WEST VALLEY CITY, UT 84120-8208
(801) 902-8000
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 492-3500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
115759-8905
UT
207R00000X
Internal Medicine Physician
268357
MA
Other
Enumeration date
06/22/2016
Last updated
05/01/2024
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