Provider Demographics
NPI:1356830749
Name:MAPEZA LOWE, LILIAN (DPT)
Entity Type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:
Last Name:MAPEZA LOWE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:LILIAN
Other - Middle Name:
Other - Last Name:MAPEZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:252 POLLY LN
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-6313
Mailing Address - Country:US
Mailing Address - Phone:219-670-7411
Mailing Address - Fax:
Practice Address - Street 1:252 POLLY LN
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-6313
Practice Address - Country:US
Practice Address - Phone:219-670-7411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty