Provider Demographics
NPI:1457634776
Name:LOWELL, PENNY (LMT)
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:
Last Name:LOWELL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:PENNY
Other - Middle Name:
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:1317 N GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-2012
Mailing Address - Country:US
Mailing Address - Phone:717-318-5125
Mailing Address - Fax:
Practice Address - Street 1:1317 N GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2012
Practice Address - Country:US
Practice Address - Phone:717-318-5125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG003181175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath