Provider Demographics
NPI:1063422897
Name:SWARTZ, LOWELL THOMAS
Entity type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:THOMAS
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 SWARTZ CT
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-2139
Mailing Address - Country:US
Mailing Address - Phone:616-527-4930
Mailing Address - Fax:616-527-1606
Practice Address - Street 1:430 SWARTZ CT
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-2139
Practice Address - Country:US
Practice Address - Phone:616-527-4930
Practice Address - Fax:616-527-1606
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI159251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice