Provider Demographics
NPI:1649249293
Name:LOWE, ELIZABETH P (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:P
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:111 W HIGH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-8611
Mailing Address - Country:US
Mailing Address - Phone:410-398-3950
Mailing Address - Fax:410-398-8661
Practice Address - Street 1:111 W HIGH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5529
Practice Address - Country:US
Practice Address - Phone:410-398-3950
Practice Address - Fax:410-398-8661
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0058347208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD386602500Medicaid
MDO652Medicare PIN
MD386602500Medicaid