Individual
MRS. WANDA LOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 SHAKER RUN RD, LEXINGTON, KY 40509-8475
(859) 294-9489
Mailing address
2204 SHAKER RUN RD, LEXINGTON, KY 40509-8475
(859) 294-9489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3734P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321167
BC BS HHC
—
01
—
000000490014
BC BS LPC
—
01
—
1206234
CHA HHC
—
01
—
7450533
AETNA
—
05
—
78010212
—
KY
Enumeration date
03/08/2006
Last updated
02/13/2008
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