Healthcare Provider Details

I. General information

NPI: 1548188907
Provider Name (Legal Business Name): SARAH D LOWE RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 TEXAS AVE
BANGOR ME
04401-4324
US

IV. Provider business mailing address

50 CLUBHOUSE RD
LEVANT ME
04456-4257
US

V. Phone/Fax

Practice location:
  • Phone: 207-992-4549
  • Fax:
Mailing address:
  • Phone: 207-290-2167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN72319
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: