Healthcare Provider Details

I. General information

NPI: 1912890278
Provider Name (Legal Business Name): LOVIE ELIZABETH ZAGO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5760 PATRIOT BLVD
AUSTINTOWN OH
44515-1170
US

IV. Provider business mailing address

5760 PATRIOT BLVD
AUSTINTOWN OH
44515-1170
US

V. Phone/Fax

Practice location:
  • Phone: 330-953-0243
  • Fax:
Mailing address:
  • Phone: 330-953-0243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN427820
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: