Provider Demographics
NPI:1164513529
Name:HOWARD, LOWELL EARL JR
Entity Type:Individual
Prefix:
First Name:LOWELL
Middle Name:EARL
Last Name:HOWARD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:LOWELL
Other - Middle Name:E
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:2962 RICHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220
Mailing Address - Country:US
Mailing Address - Phone:502-454-3621
Mailing Address - Fax:502-454-3621
Practice Address - Street 1:2962 RICHLAND AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220
Practice Address - Country:US
Practice Address - Phone:502-454-3621
Practice Address - Fax:502-454-3621
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY43361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice