Provider Demographics
NPI:1669970372
Name:LOWE, SHELBY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:LYNN
Last Name:LOWE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHELBY
Other - Middle Name:LYNN
Other - Last Name:NESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6694 BAYSHORE RD STE 109
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33917-3307
Mailing Address - Country:US
Mailing Address - Phone:507-828-0058
Mailing Address - Fax:
Practice Address - Street 1:6694 BAYSHORE RD STE 109
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33917-3307
Practice Address - Country:US
Practice Address - Phone:507-828-0058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-28
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12389111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor