Provider Demographics
NPI:1043363377
Name:ANDREW E LOWY DPM PLLC
Entity type:Organization
Organization Name:ANDREW E LOWY DPM PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN- OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:E
Authorized Official - Last Name:LOWY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:602-942-3966
Mailing Address - Street 1:14001 N 7TH ST STE A101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4382
Mailing Address - Country:US
Mailing Address - Phone:602-942-3966
Mailing Address - Fax:602-548-9470
Practice Address - Street 1:14001 N 7TH ST STE A101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4382
Practice Address - Country:US
Practice Address - Phone:602-942-3966
Practice Address - Fax:602-548-9470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0220213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4264290001Medicare NSC