Healthcare Provider Details

I. General information

NPI: 1265361513
Provider Name (Legal Business Name): KATHRYN LOWRIE CPO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 ADAMS ST STE B16
RIVERSIDE CA
92504-4396
US

IV. Provider business mailing address

2900 ADAMS ST STE B16
RIVERSIDE CA
92504-4396
US

V. Phone/Fax

Practice location:
  • Phone: 951-785-4411
  • Fax: 951-785-4665
Mailing address:
  • Phone: 951-785-4411
  • Fax: 951-785-4665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO04966
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO04966
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: