Provider Demographics
NPI:1275683401
Name:LOWINSKE, CAROL ANN (MA MS LP)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANN
Last Name:LOWINSKE
Suffix:
Gender:F
Credentials:MA MS LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 WAYNESBOROUGH WAY
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001
Mailing Address - Country:US
Mailing Address - Phone:507-625-2660
Mailing Address - Fax:
Practice Address - Street 1:160 WAYNESBOROUGH WAY
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001
Practice Address - Country:US
Practice Address - Phone:507-625-2660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP3920103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1340787220040OtherPREFERRED ONE
6251173OtherMEDICA
45Q34L0OtherBCBS
65111OtherHEALTH PARTNERS
125732OtherUCARE
45Q33L0OtherBCBS
MN4230283Medicare UPIN