Provider Demographics
NPI:1942512017
Name:LOWRY, DAWN MARIE (RN, CLC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:LOWRY
Suffix:
Gender:F
Credentials:RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 FOXHOUND CT
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-7957
Mailing Address - Country:US
Mailing Address - Phone:910-364-2942
Mailing Address - Fax:
Practice Address - Street 1:202 FOXHOUND CT
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-7957
Practice Address - Country:US
Practice Address - Phone:910-364-2942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC196954163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn