Individual
LYNNE LOVERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1322
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1322
LICENSE
SD
Enumeration date
05/03/2008
Last updated
05/03/2008
Update your record
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