Provider Demographics
NPI:1174013916
Name:LOWREY, THOMAS CONSTANTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CONSTANTINE
Last Name:LOWREY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1644 MEDICAL CENTER PT STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-5765
Mailing Address - Country:US
Mailing Address - Phone:719-634-1994
Mailing Address - Fax:719-634-2906
Practice Address - Street 1:6071 E WOODMEN RD STE 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2613
Practice Address - Country:US
Practice Address - Phone:719-531-7007
Practice Address - Fax:719-531-7122
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2024-01-03
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Provider Licenses
StateLicense IDTaxonomies
CODR.0070292208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty