Individual
CHRISTINE M LOVE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 449-4500
Mailing address
PO BOX 74647, CLEVELAND, OH 44194-0730
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-000360
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342191
ANTHEM
OH
01
—
P00206697
RAILROAD MEDICARE
OH
Enumeration date
11/21/2005
Last updated
07/08/2007
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