Provider Demographics
NPI:1821083395
Name:LOWE, MARC A (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:A
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:230 W PUEBLO ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3870
Mailing Address - Country:US
Mailing Address - Phone:805-682-4761
Mailing Address - Fax:805-682-4211
Practice Address - Street 1:230 W PUEBLO ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3870
Practice Address - Country:US
Practice Address - Phone:805-682-4761
Practice Address - Fax:805-682-4211
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2012-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG57914207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G579140Medicaid
CAG57914Medicare ID - Type Unspecified
CA00G579140Medicaid