Individual
GILLIAN KAYE LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3169 BRAVERTON ST, SUITE 201, EDGEWATER, MD 21037-2679
(410) 956-4911
(410) 956-4939
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6480
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116022584
VA
207Q00000X
Family Medicine Physician
Primary
D75974
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067229700
—
MD
01
—
K6430006
BCBS
MD
Enumeration date
06/09/2010
Last updated
04/01/2015
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