Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOWELLA JEAN DOMENECH
Active Sole ProprietorLOWELLA JEAN DOMENECH is a Podiatric Surgery healthcare provider located in VENEDY, Illinois. NPI 1093383507 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · VENEDY, IL
Registration Details
- NPI Number
- 1093383507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2021 (5.1939428749534 yrs)
- Last Updated
- Jun 12, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 W CHURCH STVENEDY, IL, 622141254Browse IL providers · Browse ZIP 62214
- Phone
- 6188246229
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.