Healthcare Provider Details

I. General information

NPI: 1225968324
Provider Name (Legal Business Name): ELIZABETH LOVEJOY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 BILL GILBERT RD
RAGLEY LA
70657-6252
US

IV. Provider business mailing address

853 BILL GILBERT RD
RAGLEY LA
70657-6252
US

V. Phone/Fax

Practice location:
  • Phone: 337-764-5531
  • Fax: 337-764-5531
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN161785
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: