Provider Demographics
NPI:1508580515
Name:LOWE, DIANA JUNE (PA)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:JUNE
Last Name:LOWE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1952 FIELD RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2316
Mailing Address - Country:US
Mailing Address - Phone:941-926-7546
Mailing Address - Fax:941-926-7546
Practice Address - Street 1:1952 FIELD RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2316
Practice Address - Country:US
Practice Address - Phone:941-926-7546
Practice Address - Fax:941-926-7546
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9116582363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical