Healthcare Provider Details

I. General information

NPI: 1396039236
Provider Name (Legal Business Name): MICHAEL R LOEVEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2011
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

694 GOOD DR STE 11
LANCASTER PA
17601-2433
US

IV. Provider business mailing address

694 GOOD DR STE 11
LANCASTER PA
17601-2433
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3737
  • Fax:
Mailing address:
  • Phone: 717-544-3737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD449826
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD449826
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: