Basic Information
Provider Information
NPI: 1831326222
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOWMAN-CRANE
FirstName: DELORIS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: P-LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 759194
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212759194
CountryCode: US
TelephoneNumber: 5407106085
FaxNumber: 5407106447
Practice Location
Address1: 3109 UNIVERSITY DR
Address2: SUITE 100
City: DURHAM
State: NC
PostalCode: 277073779
CountryCode: US
TelephoneNumber: 9194011151
FaxNumber: 9194014040
Other Information
ProviderEnumerationDate: 06/12/2009
LastUpdateDate: 06/12/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X  Y Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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