Provider Demographics
NPI:1689655508
Name:PAUL, LOWELL S (MD)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:S
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30335 W 13 MILE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2262
Mailing Address - Country:US
Mailing Address - Phone:248-626-6500
Mailing Address - Fax:248-855-0190
Practice Address - Street 1:39475 LEWIS DR STE 150
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2980
Practice Address - Country:US
Practice Address - Phone:248-301-3900
Practice Address - Fax:248-800-3390
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2022-03-07
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Provider Licenses
StateLicense IDTaxonomies
MI4301038004207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1311050Medicaid
MI0636303Medicare PIN
MI1311050Medicaid