Provider Demographics
NPI:1841150547
Name:DOUGLAS G. LOWELL MD PLLC
Entity type:Organization
Organization Name:DOUGLAS G. LOWELL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZEHNGUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-909-4196
Mailing Address - Street 1:5066 N PLACITA CHOLULA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6321
Mailing Address - Country:US
Mailing Address - Phone:520-248-8525
Mailing Address - Fax:855-674-1838
Practice Address - Street 1:2221 E FRONTAGE RD BLDG J
Practice Address - Street 2:
Practice Address - City:TUBAC
Practice Address - State:AZ
Practice Address - Zip Code:85646-9997
Practice Address - Country:US
Practice Address - Phone:520-248-8525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty