Individual
MRS. LISA ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5 WASHINGTON ST, SUITE 200, VALPARAISO, IN 46383-4714
(219) 741-9242
(219) 477-4171
Mailing address
PO BOX 1425, VALPARAISO, IN 46384-1425
(219) 741-9242
(219) 477-4171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004121A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353015
ANTHEM PIN #
IN
Enumeration date
11/01/2006
Last updated
07/08/2007
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