Doctor Name: | MR. JONATHAN ANDREW LOWE |
NPI Number: | 1114199304 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | 081141 |
Business Practice Address: | 225 Montowese St Branford, CT - 064053873 |
Business Phone Number: | 2036438053 |
Business Fax Number: | 2036438004 |
Mailing Address: | 225 Montowese St, BRANFORD |
State: | CT |
Postal Code: | 064053873 |
Phone Number: | 2036438053 |
Fax Number: | 2036438004 |
NPI Enumeration Date: | 03/27/2008 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 081141 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |