Provider Demographics
NPI:1669578050
Name:LOWE, LISA GABRIELLE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:GABRIELLE
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:GABRIELLE
Other - Last Name:HILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10155 PACIFIC HEIGHTS BLVD.
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121
Mailing Address - Country:US
Mailing Address - Phone:858-651-5918
Mailing Address - Fax:858-622-1658
Practice Address - Street 1:10155 PACIFIC HEIGHTS BLVD.
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121
Practice Address - Country:US
Practice Address - Phone:858-651-5918
Practice Address - Fax:858-622-1658
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91326207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA91326AMedicare PIN