Provider Demographics
NPI:1932136801
Name:LOWE, JAMES B III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:LOWE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DEPT. #96-0284
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73196-0284
Mailing Address - Country:US
Mailing Address - Phone:405-286-9740
Mailing Address - Fax:405-753-5428
Practice Address - Street 1:2520 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7163
Practice Address - Country:US
Practice Address - Phone:405-942-4300
Practice Address - Fax:405-942-4312
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK20612208200000X, 208600000X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200084460AMedicaid
OK244625702Medicare PIN
OK200084460AMedicaid