Individual
MS. THERESA GAIL LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4232 N 61ST ST, MILWAUKEE, WI 53216-1215
(414) 736-7816
Mailing address
4232 N 61ST ST, MILWAUKEE, WI 53216-1215
(414) 736-7816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20266-031
WI
Other
Enumeration date
02/07/2014
Last updated
02/11/2014
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