Provider Demographics
NPI:1902320070
Name:MCLOWRY, LEKEESHA P (ND, PHD)
Entity type:Individual
Prefix:DR
First Name:LEKEESHA
Middle Name:P
Last Name:MCLOWRY
Suffix:
Gender:F
Credentials:ND, PHD
Other - Prefix:
Other - First Name:LEKEESHA
Other - Middle Name:
Other - Last Name:MCLOWRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, PHD
Mailing Address - Street 1:1936 BRUCE B DOWNS BLVD # 157
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9262
Mailing Address - Country:US
Mailing Address - Phone:813-356-8479
Mailing Address - Fax:
Practice Address - Street 1:6535 GUNN HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-4021
Practice Address - Country:US
Practice Address - Phone:813-820-0022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCL12462651744P3200X
FLLEHP1126202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management