MEDICARE: RICHARD LOVY DO

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	207R00000X	Internal Medicine Physician	5101015392	MI
2	208M00000X	Hospitalist Physician	5101015392	MI
3	207RP1001X	Pulmonary Disease Physician	5101015392	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	RL015392	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1407882855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LOVY DO

Provider Business Mailing Address
First Line	:	5007 MEADOW SPRINGS TRL SE
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-8156
Country	:	US
Telephone Number	:	616-719-2293
Fax Number	:

Provider Business Practice Location Address
First Line	:	5007 MEADOW SPRINGS TRL SE
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-8156
Country	:	US
Telephone Number	:	616-719-2293
Fax Number	:

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	11/15/2016

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Directions to “ RICHARD LOVY DO” Practice Location

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