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Individual

DAVID N LOWTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1316 NELSON AVE, CONTRACTING AND CREDENTIALING DEPT, MODESTO, CA 95350-5341
(209) 575-5870
(209) 575-5872
Mailing address
2234 COLONIAL BLVD., ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A79089
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A790890
CA
05
1902880818
CA
01
7971759
AETNA
CA
01
P01703383
RR MEDICARE
CA
Enumeration date
12/05/2005
Last updated
01/30/2017
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