Provider Demographics
NPI:1073866430
Name:LOWERY, MARSHA K (ND)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:K
Last Name:LOWERY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 MAKAWAO AVE #101
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768
Mailing Address - Country:US
Mailing Address - Phone:808-633-8177
Mailing Address - Fax:808-442-8144
Practice Address - Street 1:1135 MAKAWAO AVE #101
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768
Practice Address - Country:US
Practice Address - Phone:808-633-8177
Practice Address - Fax:808-442-8144
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI233175F00000X
HIN233175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath