Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH9132 | OH |
NPI | 1023431392 |
---|---|
Provider Name | Mrs. Ann Lovejoy |
First Address | Lima, OH 45801-3636 |
Second Address | Lima, OH 45801-2051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2014 |
Last Update Date | 22/01/2014 |