Provider Demographics
NPI:1265201883
Name:LOWTHER, THERESA
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:LOWTHER
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 1:1111 MOUNT OLIVET RD NE APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2304
Mailing Address - Country:US
Mailing Address - Phone:202-977-6912
Mailing Address - Fax:
Practice Address - Street 1:1111 MOUNT OLIVET RD NE APT 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2304
Practice Address - Country:US
Practice Address - Phone:202-468-7421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide