Provider Demographics
NPI:1831259977
Name:GREER, LOWELL III (DO)
Entity type:Individual
Prefix:
First Name:LOWELL
Middle Name:
Last Name:GREER
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5131 BEACON HILL RD
Mailing Address - Street 2:STE 120
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-4442
Mailing Address - Country:US
Mailing Address - Phone:614-486-2000
Mailing Address - Fax:614-878-3873
Practice Address - Street 1:5131 BEACON HILL RD
Practice Address - Street 2:STE 120
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-4442
Practice Address - Country:US
Practice Address - Phone:614-486-2000
Practice Address - Fax:614-878-3873
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-2369207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0536683Medicaid
E59729Medicare UPIN
GR0542937Medicare ID - Type Unspecified