Healthcare Provider Details

I. General information

NPI: 1871393728
Provider Name (Legal Business Name): LINDSEY LOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

IV. Provider business mailing address

1925 W RIVER RD
TUCSON AZ
85704-1464
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-1675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11820
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.61667697
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: