Individual
MRS. CHENESA R LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
56 E SIEBENTHALER AVE, DAYTON, OH 45405-2424
(937) 604-5986
Mailing address
56 E SIEBENTHALER AVE, DAYTON, OH 45405-2424
(937) 604-5986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 124794 IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000X
—
OH
Enumeration date
10/29/2009
Last updated
10/29/2009
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