Healthcare Provider Details

I. General information

NPI: 1538095963
Provider Name (Legal Business Name): SYDNEY LOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 YORK RD BLDG A
TIMONIUM MD
21093-6016
US

IV. Provider business mailing address

802 S HIGHLAND AVE
BALTIMORE MD
21224-5130
US

V. Phone/Fax

Practice location:
  • Phone: 410-498-7624
  • Fax:
Mailing address:
  • Phone: 443-800-4212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: