Basic Information
Provider Information
NPI: 1689954273
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOWMAN
FirstName: DARLENE
MiddleName: BEATRICE
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11255 SW 211TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331892240
CountryCode: US
TelephoneNumber: 3052780200
FaxNumber: 7862350145
Practice Location
Address1: 7945 S SUNCOAST BLVD STE B
Address2:  
City: HOMOSASSA
State: FL
PostalCode: 344465005
CountryCode: US
TelephoneNumber: 3523826111
FaxNumber: 3523826112
Other Information
ProviderEnumerationDate: 08/26/2011
LastUpdateDate: 10/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XARNP2009132FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home