Provider Demographics
NPI:1851484620
Name:LOWE, PAMELA A (OD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:A
Last Name:LOWE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-3710
Mailing Address - Country:US
Mailing Address - Phone:773-774-3939
Mailing Address - Fax:773-774-8852
Practice Address - Street 1:6325 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-3710
Practice Address - Country:US
Practice Address - Phone:773-774-3939
Practice Address - Fax:773-774-8852
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist