Provider Demographics
NPI:1497098768
Name:DE CASTRO, LOWRYN R (FNP)
Entity Type:Individual
Prefix:
First Name:LOWRYN
Middle Name:R
Last Name:DE CASTRO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LOWRYN
Other - Middle Name:R
Other - Last Name:SERBAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7624 PAINTER AVE
Mailing Address - Street 2:# 100
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2300
Mailing Address - Country:US
Mailing Address - Phone:562-945-9333
Mailing Address - Fax:562-945-8533
Practice Address - Street 1:7624 PAINTER AVE
Practice Address - Street 2:# 100
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2300
Practice Address - Country:US
Practice Address - Phone:562-945-9333
Practice Address - Fax:562-945-8533
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22731207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine