Provider Demographics
NPI:1912468075
Name:LOWE, SHONA CLARE LAMB (MD)
Entity type:Individual
Prefix:
First Name:SHONA
Middle Name:CLARE LAMB
Last Name:LOWE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SHONA
Other - Middle Name:CLARE
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2010 ZONAL AVE # 4P1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-1026
Mailing Address - Country:US
Mailing Address - Phone:323-409-8080
Mailing Address - Fax:323-441-7383
Practice Address - Street 1:2010 ZONAL AVE # 4P1
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1026
Practice Address - Country:US
Practice Address - Phone:323-409-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1776481835P0018X, 207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine