Provider Demographics
NPI:1508857517
Name:MACDONALD, NANCY LOWE (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LOWE
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:JARRETT WHITE ROAD
Mailing Address - Street 2:TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
Mailing Address - City:TRIPLER AMC
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5001
Mailing Address - Country:US
Mailing Address - Phone:808-433-2460
Mailing Address - Fax:808-433-1558
Practice Address - Street 1:JARRETT WHITE ROAD
Practice Address - Street 2:TRIPLER ARMY MEDICAL CENTER
Practice Address - City:TRIPLER AMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-2460
Practice Address - Fax:808-433-1558
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT169297-12052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D20115Medicare UPIN