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Individual

MARJORIE LYNN LOVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5350 LAMME RD, MORAINE, OH 45439-3215
(937) 451-3123
(937) 350-6477
Mailing address
PO BOX 78000, DETROIT, MI 48278-0001
(937) 451-3123
(937) 350-6477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-067046
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0776816
MEDICARE PTAN
OH
05
0977019
OH
Enumeration date
08/25/2005
Last updated
03/04/2026
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