Healthcare Provider Details

I. General information

NPI: 1174677595
Provider Name (Legal Business Name): DANE LOWE DANE LOWE, DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANE LOWE DANE LOWE, DC

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 CLAY ST.
IONE CA
95640-9564
US

IV. Provider business mailing address

119 CLAY STREET
IONE CA
95640-9564
US

V. Phone/Fax

Practice location:
  • Phone: 209-274-2000
  • Fax: 209-274-9490
Mailing address:
  • Phone: 209-274-2000
  • Fax: 209-274-9490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: