Provider Demographics
NPI:1205242815
Name:DOWE, LORI
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:DOWE
Suffix:
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 1:9330 MARINA PACIFICA DR N
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-7004
Mailing Address - Country:US
Mailing Address - Phone:562-208-5595
Mailing Address - Fax:
Practice Address - Street 1:9330 MARINA PACIFICA DR N
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-7004
Practice Address - Country:US
Practice Address - Phone:562-208-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19268235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist