MEDICARE: JASTON LOWE CSFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant		NV

General Provider Information

NPI Number	:	1104768522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASTON LOWE CSFA

Provider Business Mailing Address
First Line	:	3055 SAINT ROSE PKWY # 777733
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3889
Country	:	US
Telephone Number	:	702-245-0928
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 SAINT ROSE PKWY # 777733
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3889
Country	:	US
Telephone Number	:	702-245-0928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ JASTON LOWE CSFA” Practice Location

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