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General NPI Number Information
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NPI Number | 1427284611
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Entity Type | Organization
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Legal Business Name | LAUREN B. LOWERY, PSY.D., LLC
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 303 SE CASTLE CT
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-6782
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Country | US
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Telephone | 954-801-1673
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Fax |
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Provider Business Mailing Address
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Address Line | 303 SE CASTLE CT
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-6782
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Country | US
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Telephone | 954-801-1673
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LAUREN BETH LOWERY
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Credential | PSY.D.
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Telephone | 954-801-1673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 7605
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License Number State | FL
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