Provider Demographics
NPI:1558668988
Name:LOWE, TERAH LYNN
Entity Type:Individual
Prefix:
First Name:TERAH
Middle Name:LYNN
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERAH
Other - Middle Name:LYNN
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17420 CHARITY LN
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7004
Mailing Address - Country:US
Mailing Address - Phone:907-694-8585
Mailing Address - Fax:907-694-2595
Practice Address - Street 1:17420 CHARITY LN
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7004
Practice Address - Country:US
Practice Address - Phone:907-694-8585
Practice Address - Fax:907-694-2595
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator