Provider Demographics
NPI:1770274359
Name:LOWRY, LAUREN
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:
Last Name:LOWRY
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 1:23600 COMMERCE PARK STE A
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5817
Mailing Address - Country:US
Mailing Address - Phone:216-399-0201
Mailing Address - Fax:
Practice Address - Street 1:23600 COMMERCE PARK STE A
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5817
Practice Address - Country:US
Practice Address - Phone:216-399-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator