Provider Demographics
NPI:1427386069
Name:LOWE, ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:LOWE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ANDREW
Other - Middle Name:T
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:29049 OVERLAND DR STE A
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3637
Mailing Address - Country:US
Mailing Address - Phone:951-699-3027
Mailing Address - Fax:951-699-3028
Practice Address - Street 1:29049 OVERLAND DR STE A
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3637
Practice Address - Country:US
Practice Address - Phone:951-699-3027
Practice Address - Fax:951-699-3028
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor