Provider Demographics
NPI:1548489180
Name:LOWENSTEIN, ROY SIDNEY (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:SIDNEY
Last Name:LOWENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:650 S CHERRY ST
Mailing Address - Street 2:#1060
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1801
Mailing Address - Country:US
Mailing Address - Phone:303-333-2111
Mailing Address - Fax:303-377-3849
Practice Address - Street 1:650 S CHERRY ST
Practice Address - Street 2:#1060
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1801
Practice Address - Country:US
Practice Address - Phone:303-333-2111
Practice Address - Fax:303-377-3849
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO17545102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17545OtherMEDICAL LICENSE