MS. TRACY JO LOWMAN - NPI NUMBER 1215243118

Summary

Provider Name: MS. TRACY JO LOWMAN

NPI Number: 1215243118

Clasification: Licensed Practical Nurse (164W00000X)

Address:
627 S. EDWIN C. MOSES BLVD
G1
DAYTON, OH
ZIP 45417

Phone Number: (937) 610-5555



Detailed Information

MS. Tracy Jo Lowman is a licensed practical nurse in Dayton, OH. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. The assigned NPI number for this provider is 1215243118 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

627 S. EDWIN C. MOSES BLVD
G1
DAYTON, OH
ZIP 45417
Phone: (937) 610-5555
Fax: (937) 610-5554

The enumeration date for this NPI number is 8/30/2010 and was last updated on 8/30/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 164W00000X Licensed Practical Nurse PN132072 OH Yes

NPI Record

No. Field Name Field Value
1 NPI 1215243118
2 Entity Type Code 1
3 Provider Last Name Legal Name LOWMAN
4 Provider First Name TRACY
5 Provider Middle Name JO
6 Provider Name Prefix Text MS.
7 Provider First Line Business Practice Location Address 627 S. EDWIN C. MOSES BLVD
8 Provider Second Line Business Practice Location Address G1
9 Provider Business Practice Location Address City Name DAYTON
10 Provider Business Practice Location Address State Name OH
11 Provider Business Practice Location Address Postal Code 45417
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 9376105555
14 Provider Business Practice Location Address Fax Number 9376105554
15 Provider Enumeration Date 8/30/2010
16 Last Update Date 8/30/2010
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 164W00000X
19 Provider License Number 1 PN132072
20 Provider License Number State Code 1 OH
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.