Provider Demographics
NPI:1932251154
Name:LOW, HENRY J (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:J
Last Name:LOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6510 LONETREE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-6009
Mailing Address - Country:US
Mailing Address - Phone:916-672-6622
Mailing Address - Fax:
Practice Address - Street 1:6510 LONETREE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765
Practice Address - Country:US
Practice Address - Phone:916-672-6622
Practice Address - Fax:650-860-3269
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71770207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine