Provider Demographics
NPI:1871181719
Name:LOWE, LEAH KATHLEEN (DNP, APRN, CPNP-AC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:KATHLEEN
Last Name:LOWE
Suffix:
Gender:F
Credentials:DNP, APRN, CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 W FAIRBANKS AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3385
Mailing Address - Country:US
Mailing Address - Phone:407-898-2767
Mailing Address - Fax:
Practice Address - Street 1:8061 SPYGLASS HILL RD STE 103
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8297
Practice Address - Country:US
Practice Address - Phone:866-383-0556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3200179072080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology