Provider Demographics
NPI:1326861410
Name:LOWE, CHRISTINA L
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:LOWE
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 1:966 US HIGHWAY 160 E
Mailing Address - Street 2:
Mailing Address - City:DONIPHAN
Mailing Address - State:MO
Mailing Address - Zip Code:63935-7113
Mailing Address - Country:US
Mailing Address - Phone:573-996-2203
Mailing Address - Fax:
Practice Address - Street 1:966 US HIGHWAY 160 E
Practice Address - Street 2:
Practice Address - City:DONIPHAN
Practice Address - State:MO
Practice Address - Zip Code:63935-7113
Practice Address - Country:US
Practice Address - Phone:573-996-2203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician