Individual
MS. LINDA H LOVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
600 E GENESEE ST STE 104, SYRACUSE, NY 13202-3108
(315) 426-1100
(315) 426-1153
Mailing address
600 E GENESEE ST STE 104, SYRACUSE, NY 13202-3108
(315) 426-1100
(315) 426-1153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
408574
NY
176B00000X
Midwife
Primary
F000574
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004218
EXCELLUS BC BS CENTRAL NY
NY
01
—
00040025002
UNIVERA
NY
05
—
01487012
—
NY
05
—
02502472
—
NY
01
—
050211000003
FIDELIS CARE NY
NY
01
—
100174455401
UNITED HEALTHCARE
NY
01
—
384476
MVP
NY
01
—
760768597
AETNA
NY
01
—
CAQH
11378735
NM
Enumeration date
02/28/2007
Last updated
12/15/2011
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