Individual
MRS. LISA A LOWHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
8168 HWY 789, LANDER, WY 82520
(307) 332-5240
(307) 332-5241
Mailing address
2002 WEST SUNSET DR, SUITE 1, RIVERTON, WY 82501
(307) 856-7021
(307) 856-5546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR442
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308714
BLUE CROSS BLUE SHIELD
WY
Enumeration date
07/28/2006
Last updated
07/08/2007
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