Provider Demographics
NPI:1376750539
Name:LOWDEN, MARY LOU (LPN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:LOU
Last Name:LOWDEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 QUAYLE DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-2142
Mailing Address - Country:US
Mailing Address - Phone:330-784-9273
Mailing Address - Fax:330-644-4277
Practice Address - Street 1:1938 QUAYLE DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-2142
Practice Address - Country:US
Practice Address - Phone:330-784-9273
Practice Address - Fax:330-644-4277
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH075970164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse