Healthcare Provider Details

I. General information

NPI: 1841985975
Provider Name (Legal Business Name): KORRIN ELIZABETH LOVETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26737 NAWASH DR
PERRYSBURG OH
43551-5464
US

IV. Provider business mailing address

3045 SHORELAND AVE
TOLEDO OH
43611-1251
US

V. Phone/Fax

Practice location:
  • Phone: 567-225-9390
  • Fax:
Mailing address:
  • Phone: 567-225-9390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: