Provider Demographics
NPI:1891862249
Name:LOWE, MONICA MARIE (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MARIE
Last Name:LOWE
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:MARIE
Other - Last Name:BECKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:345 N ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-1503
Mailing Address - Country:US
Mailing Address - Phone:805-640-3023
Mailing Address - Fax:805-640-3023
Practice Address - Street 1:345 N ALVARADO ST
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-1503
Practice Address - Country:US
Practice Address - Phone:805-640-3023
Practice Address - Fax:805-640-3023
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA881306133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered