Provider Demographics
NPI:1851253736
Name:LOWE, DIANA
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:
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 1:2004 SWALLOWTAIL CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45315-8748
Mailing Address - Country:US
Mailing Address - Phone:937-203-5564
Mailing Address - Fax:
Practice Address - Street 1:2004 SWALLOWTAIL CT
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45315-8748
Practice Address - Country:US
Practice Address - Phone:937-203-5564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-29
Last Update Date:2025-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company