Provider Demographics
NPI:1194862235
Name:LOWE, DEBRA JANEL
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JANEL
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 GREEN ACRE RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8768
Mailing Address - Country:US
Mailing Address - Phone:717-626-1616
Mailing Address - Fax:
Practice Address - Street 1:155 GREEN ACRE RD
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8768
Practice Address - Country:US
Practice Address - Phone:717-626-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy