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NPI Code Detail

MEDICARE: MS. STEPHANIE ANN LOWRANCE MSW, LCSW

MEDICARE: MS. STEPHANIE ANN LOWRANCE MSW, LCSW
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
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker26516CA

General Provider Information

NPI Number : 1629181607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE ANN LOWRANCE MSW, LCSW
Provider Business Mailing Address
First Line : PO BOX 4653
Second Line :
City : ORANGE
State : CA
Zip : 92863-4653
Country : US
Telephone Number : 949-455-9287
Fax Number :
Provider Business Practice Location Address
First Line : 131 W MIDWAY DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6507
Country : US
Telephone Number : 949-445-9287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 03/06/2019

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