Healthcare Provider Details

I. General information

NPI: 1912468075
Provider Name (Legal Business Name): SHONA CLARE LAMB LOWE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHONA CLARE LAMB MD

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 ZONAL AVE # 4P1
LOS ANGELES CA
90033-1026
US

IV. Provider business mailing address

2010 ZONAL AVE # 4P1
LOS ANGELES CA
90033-1026
US

V. Phone/Fax

Practice location:
  • Phone: 323-409-8080
  • Fax:
Mailing address:
  • Phone: 323-409-8080
  • Fax: 323-441-7383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberA177648
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA177648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: