Provider Demographics
NPI:1932240215
Name:LOWE, STEVEN LAWRENCE (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LAWRENCE
Last Name:LOWE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 COMMODORE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-4582
Mailing Address - Country:US
Mailing Address - Phone:510-236-3974
Mailing Address - Fax:
Practice Address - Street 1:208 VINTAGE WAY STE K11
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5058
Practice Address - Country:US
Practice Address - Phone:415-897-3377
Practice Address - Fax:415-897-5722
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7262152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist