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NPI Code Detail

MEDICARE: RACHEL LAUREN LOWE PA-C

MEDICARE: RACHEL LAUREN LOWE PA-C
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
1363A00000XPhysician Assistant10170401-1206UT

General Provider Information

NPI Number : 1609308774
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LAUREN LOWE PA-C
Provider Business Mailing Address
First Line : 4403 HARRISON BLVD
Second Line : 2400
City : OGDEN
State : UT
Zip : 84403-3271
Country : US
Telephone Number : 801-387-2750
Fax Number :
Provider Business Practice Location Address
First Line : 4403 HARRISON BLVD STE 2400
Second Line :
City : OGDEN
State : UT
Zip : 84403-3297
Country : US
Telephone Number : 801-442-3059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2017
Last Update Date : 07/21/2022

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Directions to “ RACHEL LAUREN LOWE PA-C” Practice Location

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