Provider Demographics
NPI:1235576976
Name:LOWMAN, CHRISTINA (RD,CDN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:LOWMAN
Suffix:
Gender:F
Credentials:RD,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4535 SOUTHWESTERN BLVD SUITE 804A
Mailing Address - Street 2:SOUTHTOWNS MEDICAL AND PROFESSIONAL PARK
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075
Mailing Address - Country:US
Mailing Address - Phone:716-202-1857
Mailing Address - Fax:
Practice Address - Street 1:4535 SOUTHWESTERN BLVD SUITE 804A
Practice Address - Street 2:SOUTHTOWNS MEDICAL AND PROFESSIONAL PARK
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075
Practice Address - Country:US
Practice Address - Phone:716-202-1857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered