Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 30224 | IA |
NPI | 1073726352 |
---|---|
Provider Name | Dr. Laura Elisabeth Low |
First Address | Omaha, NE 68144-4486 |
Second Address | Omaha, NE 68144-4486 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 27/07/2009 |