Provider Demographics
NPI:1093405235
Name:LOWTHER, NATASHA RAE (CMA)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:RAE
Last Name:LOWTHER
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 LIPPAZON WAY
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3445
Mailing Address - Country:US
Mailing Address - Phone:714-392-4663
Mailing Address - Fax:
Practice Address - Street 1:88 LIPPAZON WAY
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3445
Practice Address - Country:US
Practice Address - Phone:714-392-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care