Healthcare Provider Details

I. General information

NPI: 1437677960
Provider Name (Legal Business Name): HOLLY ELIZABETH LOVERING AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2017
Last Update Date: 09/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW FL 4
WASHINGTON DC
20037
US

IV. Provider business mailing address

2300 M ST NW FL 4
WASHINGTON DC
20037-1434
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3275
  • Fax: 202-741-3277
Mailing address:
  • Phone: 202-741-3275
  • Fax: 202-741-3277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201001674
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD000184
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: