Provider Demographics
NPI:1629288311
Name:LOWY, AMY IRENE PAGE (RD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:IRENE PAGE
Last Name:LOWY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SOUTH 3RD STREET
Mailing Address - Street 2:MONTROSE MEMORIAL HOSPITAL
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401
Mailing Address - Country:US
Mailing Address - Phone:970-240-7170
Mailing Address - Fax:970-252-2767
Practice Address - Street 1:800 SOUTH 3RD STREET
Practice Address - Street 2:MONTROSE MEMORIAL HOSPITAL
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401
Practice Address - Country:US
Practice Address - Phone:970-240-7170
Practice Address - Fax:970-252-2767
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered