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NPI Code Detail

MEDICARE: MRS. LUCIL'E ELAYNE LOWE BSW, CDCA

MEDICARE: MRS. LUCIL'E ELAYNE LOWE BSW, CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2171M00000XCase Manager/Care Coordinator1184007411OH
3101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.110895OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184007411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LUCIL'E ELAYNE LOWE BSW, CDCA
Provider Business Mailing Address
First Line : 311 E MARKET ST FL 3
Second Line :
City : LIMA
State : OH
Zip : 45801-4535
Country : US
Telephone Number : 419-222-4474
Fax Number : 419-222-7044
Provider Business Practice Location Address
First Line : 1505 N COLE ST
Second Line :
City : LIMA
State : OH
Zip : 45801-2432
Country : US
Telephone Number : 513-834-7063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2015
Last Update Date : 10/21/2024

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