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NPI Code Detail

MEDICARE: LISA ANN LOWE APRN

MEDICARE: LISA ANN LOWE APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11002829FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11002829FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APRN11002829OTHERFLFLDOH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972163954
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN LOWE APRN
Provider Business Mailing Address
First Line : 15985 PRESERVE MARKETPLACE BLVD UNIT 107
Second Line :
City : ODESSA
State : FL
Zip : 33556-5509
Country : US
Telephone Number : 727-416-2845
Fax Number :
Provider Business Practice Location Address
First Line : 2430 ESTANCIA BLVD STE 106
Second Line :
City : CLEARWATER
State : FL
Zip : 33761-2607
Country : US
Telephone Number : 727-416-2845
Fax Number : 727-205-5448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2019
Last Update Date : 03/11/2024

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