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NPI Code Detail

MEDICARE: MS. DONNA MARIE LOWE

MEDICARE:  MS. DONNA MARIE LOWE
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
1164W00000XLicensed Practical Nurse221861-1NY

General Provider Information

NPI Number : 1396203311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MARIE LOWE
Provider Business Mailing Address
First Line : 1047 MARCH DR
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-1809
Country : US
Telephone Number : 516-491-7839
Fax Number :
Provider Business Practice Location Address
First Line : 4238 MERRICK RD
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-6016
Country : US
Telephone Number : 866-794-1644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2019
Last Update Date : 03/08/2019

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Directions to “ MS. DONNA MARIE LOWE ” Practice Location

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