Provider Demographics
NPI:1982974937
Name:LOWERY-MORGAN, DELRITA
Entity Type:Individual
Prefix:MRS
First Name:DELRITA
Middle Name:
Last Name:LOWERY-MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DELRITA
Other - Middle Name:
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:972 RUE GRAND PARADIS LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-0102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:972 RUE GRAND PARADIS LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-0102
Practice Address - Country:US
Practice Address - Phone:702-897-0752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner