Individual
SHANNON LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QRP
Contact information
Practice address
3609 E CUMBERLAND RD, BLUEFIELD, WV 24701-5113
(304) 327-6105
(304) 327-6107
Mailing address
3609 E CUMBERLAND RD, BLUEFIELD, WV 24701-5113
(304) 327-6105
(304) 327-6107
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
QRP00000265
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QRP00000265
BRICKSTREET INSURACE UPIN
WV
Enumeration date
05/28/2010
Last updated
05/28/2010
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