Provider Demographics
NPI:1841577756
Name:LOWMAN, LAURA STRAUB (LCSW, RPT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:STRAUB
Last Name:LOWMAN
Suffix:
Gender:F
Credentials:LCSW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3150
Mailing Address - Country:US
Mailing Address - Phone:215-796-0231
Mailing Address - Fax:610-471-0759
Practice Address - Street 1:200 W BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3150
Practice Address - Country:US
Practice Address - Phone:215-796-0231
Practice Address - Fax:610-471-0759
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-05
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0134531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical