Provider Demographics
NPI:1124535950
Name:LOWERY, DINAH MAIRE X (NON SURGICAL HAIR)
Entity Type:Individual
Prefix:
First Name:DINAH
Middle Name:MAIRE
Last Name:LOWERY
Suffix:X
Gender:F
Credentials:NON SURGICAL HAIR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 SMOKEY CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-7036
Mailing Address - Country:US
Mailing Address - Phone:803-800-8244
Mailing Address - Fax:
Practice Address - Street 1:7949 BROAD RIVER RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2358
Practice Address - Country:US
Practice Address - Phone:803-800-8244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty