Healthcare Provider Details

I. General information

NPI: 1437220555
Provider Name (Legal Business Name): ERICA D LOVETT FOURNIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA D LOVETT MD

II. Dates (important events)

Enumeration Date: 11/11/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 N 12TH ST UNIT B
GRAND JUNCTION CO
81506-2804
US

IV. Provider business mailing address

2754 COMPASS DR STE 377
GRAND JUNCTION CO
81506-8723
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-2212
  • Fax: 970-257-2401
Mailing address:
  • Phone: 970-241-2212
  • Fax: 970-257-2401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number016802
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0054686
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: