Provider Demographics
NPI:1205332996
Name:LOWRY-CHARLES, DELYTHE EUGENIE (AMNCB 82292)
Entity type:Individual
Prefix:
First Name:DELYTHE
Middle Name:EUGENIE
Last Name:LOWRY-CHARLES
Suffix:
Gender:F
Credentials:AMNCB 82292
Other - Prefix:DR
Other - First Name:DELYTHE
Other - Middle Name:E
Other - Last Name:LOWRY-CHARLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NATUROPATHIC DOCTOR
Mailing Address - Street 1:8950 SW 74TH CT STE 2201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3181
Mailing Address - Country:US
Mailing Address - Phone:203-996-2398
Mailing Address - Fax:
Practice Address - Street 1:8950 SW 74TH CT STE 2201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3181
Practice Address - Country:US
Practice Address - Phone:203-996-2398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT82292175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath