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1275631467

NPI Code Detail

MEDICARE: DR. TERESA L LOVINS MD

MEDICARE: DR. TERESA L LOVINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01041593	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080179723	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	351907774NS	OTHER	IN	DONLEY
2	351907774109	OTHER	IN	CARESOURCE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	003803	OTHER	IN	SIHO
6	351907774014	OTHER	IN	TRICARE
7	000000208344	OTHER	IN	BLUE CROSS

General Provider Information

NPI Number	:	1275631467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA L LOVINS MD

Provider Business Mailing Address
First Line	:	4365 N RIVERSIDE DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-1124
Country	:	US
Telephone Number	:	812-900-2883
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 SANDCREST BLVD
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-3060
Country	:	US
Telephone Number	:	812-900-2883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/02/2020

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Directions to “ DR. TERESA L LOVINS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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