Individual
LOVETTE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7350 INDUSTRIAL PARK BLVD, MENTOR, OH 44060-5318
(216) 732-9480
(440) 942-8431
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34005820P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376529
ANTHEM BCBS
OH
05
—
0156272
—
OH
01
—
P00270290
RAILROAD MEDICARE
OH
Enumeration date
01/05/2006
Last updated
07/10/2014
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