Healthcare Provider Details

I. General information

NPI: 1033499975
Provider Name (Legal Business Name): STARRIE S. LOWE L.AC., DIPL. AC&CH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W HIDDEN LN 114
ROLLING HILLS ESTATES CA
90274-4153
US

IV. Provider business mailing address

3601 W HIDDEN LN 114
ROLLING HILLS ESTATES CA
90274-4153
US

V. Phone/Fax

Practice location:
  • Phone: 310-869-7324
  • Fax:
Mailing address:
  • Phone: 310-869-7324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number6577
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: