Provider Demographics
NPI:1942516992
Name:MICHAEL, LOWELL EVAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:EVAN
Last Name:MICHAEL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2401
Mailing Address - Country:US
Mailing Address - Phone:828-253-2533
Mailing Address - Fax:
Practice Address - Street 1:DERMATOLOGY OF NORTH ASHEVILLE
Practice Address - Street 2:209 E. CHESTNUT STREET
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-253-2533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA74221207N00000X
NC2015-01306207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology