Provider Demographics
NPI:1134158470
Name:LOWE, ROBERT NOYES (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NOYES
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2501 MARSHALL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-4636
Mailing Address - Country:US
Mailing Address - Phone:757-247-3910
Mailing Address - Fax:757-245-0203
Practice Address - Street 1:2501 MARSHALL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-4636
Practice Address - Country:US
Practice Address - Phone:757-247-3910
Practice Address - Fax:757-245-0203
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101047865207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6707441Medicaid
VAA45480Medicare UPIN