Provider Demographics
NPI:1386049401
Name:JULIE BOWMAN LOWE MD PLLC
Entity type:Organization
Organization Name:JULIE BOWMAN LOWE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:BOWMAN-LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-608-6877
Mailing Address - Street 1:PO BOX 108835
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73101-8835
Mailing Address - Country:US
Mailing Address - Phone:405-608-6877
Mailing Address - Fax:405-608-6899
Practice Address - Street 1:13220 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-3019
Practice Address - Country:US
Practice Address - Phone:405-608-6877
Practice Address - Fax:405-521-1979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24415174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK392120Medicare UPIN
OK244625701Medicare PIN