Provider Demographics
NPI:1700212081
Name:LOWTHER, KAREN ANN GRIM (MS)
Entity Type:Individual
Prefix:MRS
First Name:KAREN ANN
Middle Name:GRIM
Last Name:LOWTHER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1601 SW PARKRIDGE BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7569
Mailing Address - Country:US
Mailing Address - Phone:580-530-6606
Mailing Address - Fax:844-766-7644
Practice Address - Street 1:193 NW 2ND ST # 191
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-7016
Practice Address - Country:US
Practice Address - Phone:918-288-0069
Practice Address - Fax:844-766-7644
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200517880BMedicaid
OK200517880AMedicaid