Provider Demographics
NPI:1386074896
Name:LOWDER, ANNA PIERCE (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:PIERCE
Last Name:LOWDER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 US HIGHWAY 52 N STE A
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-2622
Mailing Address - Country:US
Mailing Address - Phone:704-982-5437
Mailing Address - Fax:
Practice Address - Street 1:1420 US HIGHWAY 52 N STE A
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-2622
Practice Address - Country:US
Practice Address - Phone:704-982-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC190285163W00000X
NCL-46990163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse