Individual
LEASA J LOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 UNIVERSITY DR STE 8, MENLO PARK, CA 94025-4254
(888) 731-8991
(833) 775-1861
Mailing address
17590 BLUE HERON DR, LAKE OSWEGO, OR 97034-6606
(360) 410-0184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00042420
WA
207VG0400X
Gynecology Physician
Primary
C186542
CA
207VG0400X
Gynecology Physician
MD00042420
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078LO
REGENCE
WA
01
—
0260481
L&I AND CRIME VICTIMS
WA
05
—
1861456139
—
WA
01
—
7068105
AETNA
WA
Enumeration date
04/13/2006
Last updated
07/20/2023
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