Provider Demographics
NPI:1396019725
Name:SAVAGE, VEDDAR LOWTRICE (LVN)
Entity Type:Individual
Prefix:MS
First Name:VEDDAR
Middle Name:LOWTRICE
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9227 PRAIRIE OAK DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-7241
Mailing Address - Country:US
Mailing Address - Phone:214-772-2291
Mailing Address - Fax:
Practice Address - Street 1:9227 PRAIRIE OAK DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-7241
Practice Address - Country:US
Practice Address - Phone:214-772-2291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169415164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse