Provider Demographics
NPI:1447243332
Name:LOWE, LUTHUR BURTON (MD)
Entity Type:Individual
Prefix:DR
First Name:LUTHUR
Middle Name:BURTON
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6805 ROUTE 9
Mailing Address - Street 2:SUITE 29
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1148
Mailing Address - Country:US
Mailing Address - Phone:845-876-2330
Mailing Address - Fax:
Practice Address - Street 1:6805 ROUTE 9
Practice Address - Street 2:SUITE 29
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1148
Practice Address - Country:US
Practice Address - Phone:845-876-2330
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY91547207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C10630Medicare UPIN
50304-1Medicare ID - Type Unspecified