Individual
RICHARD LOVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5007 MEADOW SPRINGS TRL SE, ADA, MI 49301-8156
(616) 719-2293
Mailing address
5007 MEADOW SPRINGS TRL SE, ADA, MI 49301-8156
(616) 719-2293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101015392
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101015392
MI
208M00000X
Hospitalist Physician
5101015392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4868850
—
MI
01
—
RL015392
BCBS
MI
Enumeration date
06/25/2006
Last updated
11/15/2016
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