Provider Demographics
NPI:1881867901
Name:HOWE, LORI III
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:HOWE
Suffix:III
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 1:952 E BASELINE RD
Mailing Address - Street 2:STE A106
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-6627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:952 E BASELINE RD
Practice Address - Street 2:STE A106
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6627
Practice Address - Country:US
Practice Address - Phone:480-926-6309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3460225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics