Provider Demographics
NPI:1750361135
Name:LOWE, CYNTHIA JEAN (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JEAN
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1932
Mailing Address - Country:US
Mailing Address - Phone:302-291-6031
Mailing Address - Fax:833-954-4028
Practice Address - Street 1:1008 KINGS HIGHWAY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1932
Practice Address - Country:US
Practice Address - Phone:302-645-3499
Practice Address - Fax:833-954-4028
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19481207Q00000X
DEC1-0011646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ141052Medicaid
AZ84230Medicare ID - Type Unspecified
AZE85957Medicare UPIN