Provider Demographics
NPI:1245353283
Name:LOWENTHAL, MARK NATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:NATHAN
Last Name:LOWENTHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 EUDORA ST
Mailing Address - Street 2:602E
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4334
Mailing Address - Country:US
Mailing Address - Phone:720-941-8320
Mailing Address - Fax:
Practice Address - Street 1:955 EUDORA ST
Practice Address - Street 2:602E
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4334
Practice Address - Country:US
Practice Address - Phone:720-941-8320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37340146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant