Provider Demographics
NPI:1306471099
Name:DOWER, LINDA KATHLEEN
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KATHLEEN
Last Name:DOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:KATHLEEN
Other - Last Name:EUGENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD, CDCES
Mailing Address - Street 1:40229 CROOKED STICK DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-0443
Mailing Address - Country:US
Mailing Address - Phone:801-707-7002
Mailing Address - Fax:
Practice Address - Street 1:40229 CROOKED STICK DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-0443
Practice Address - Country:US
Practice Address - Phone:801-707-7002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3163133V00000X
NCL008557133V00000X
UT11921657-4901133V00000X
IL811030133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered