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NPI Code Detail

MEDICARE: AMANDA LOVERA

MEDICARE:   AMANDA  LOVERA
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
1101Y00000XCounselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1942606470
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LOVERA
Provider Business Mailing Address
First Line : PO BOX 61
Second Line :
City : REDLANDS
State : CA
Zip : 92373-0021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11201 BENTON ST
Second Line :
City : LOMA LINDA
State : CA
Zip : 92357-3815
Country : US
Telephone Number : 98-257-0849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2014
Last Update Date : 03/17/2025

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Directions to “ AMANDA LOVERA ” Practice Location

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