Provider Demographics
NPI:1659156644
Name:LOWE, LEAH MICHELLE
Entity Type:Individual
Prefix:MISS
First Name:LEAH
Middle Name:MICHELLE
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 N LAMONT ST APT 228
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-2434
Mailing Address - Country:US
Mailing Address - Phone:725-276-1971
Mailing Address - Fax:
Practice Address - Street 1:4956 DRIFTING PEBBLE ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-3057
Practice Address - Country:US
Practice Address - Phone:702-445-0669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide