Healthcare Provider Details

I. General information

NPI: 1134300312
Provider Name (Legal Business Name): ANN LOVICK N.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 S VAL VISTA DR STE 127
GILBERT AZ
85295-1678
US

IV. Provider business mailing address

2115 TIPTOP LN
SAN ANTONIO TX
78253-3414
US

V. Phone/Fax

Practice location:
  • Phone: 602-834-0494
  • Fax: 480-428-4251
Mailing address:
  • Phone: 480-498-4203
  • Fax: 480-428-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number07-1005
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: