Individual
LOWAYNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCHW, NPP
Contact information
Practice address
1220 WATERWAY BLVD, INDIANAPOLIS, IN 46202
(317) 480-0657
Mailing address
2860 SCHOFIELD AVE, INDIANAPOLIS, IN 46218
(317) 480-0657
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
IN
172V00000X
Community Health Worker
Primary
—
IN
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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