Provider Demographics
NPI:1336457688
Name:LOWE, LESBIA CAROLINA
Entity Type:Individual
Prefix:MRS
First Name:LESBIA
Middle Name:CAROLINA
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:L
Other - Middle Name:CAROLINA
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:43915 GLENRAVEN ROAD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535
Mailing Address - Country:US
Mailing Address - Phone:661-609-3056
Mailing Address - Fax:
Practice Address - Street 1:907 LANCASTER BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-726-2630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARS5828101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)