Provider Demographics
NPI:1174677595
Name:LOWE, DANE (DANE LOWE, DC)
Entity Type:Individual
Prefix:DR
First Name:DANE
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:DANE LOWE, DC
Other - Prefix:DR
Other - First Name:DANE
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DANE LOWE, DC
Mailing Address - Street 1:119 CLAY STREET
Mailing Address - Street 2:
Mailing Address - City:IONE
Mailing Address - State:CA
Mailing Address - Zip Code:95640-9564
Mailing Address - Country:US
Mailing Address - Phone:209-274-2000
Mailing Address - Fax:209-274-9490
Practice Address - Street 1:119 CLAY ST.
Practice Address - Street 2:
Practice Address - City:IONE
Practice Address - State:CA
Practice Address - Zip Code:95640-9564
Practice Address - Country:US
Practice Address - Phone:209-274-2000
Practice Address - Fax:209-274-9490
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16602111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor