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General NPI Number Information
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NPI Number | 1467466912
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Entity Type | Individual
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Provider Name | LISA A LOWHAM OTRL
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8168 HWY 789
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City | LANDER
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State | WY
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Zip | 82520
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Country | US
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Telephone | 307-332-5240
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Fax | 307-332-5241
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Provider Business Mailing Address
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Address Line | 2002 WEST SUNSET DR SUITE 1
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City | RIVERTON
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State | WY
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Zip | 82501
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Country | US
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Telephone | 307-856-7021
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Fax | 307-856-5546
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR442
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License Number State | WY
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