Healthcare Provider Details

I. General information

NPI: 1598673592
Provider Name (Legal Business Name): LOVIEMAE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18915 DEPOT RD
MC KENNEY VA
23872-2903
US

IV. Provider business mailing address

18915 DEPOT RD
MC KENNEY VA
23872-2903
US

V. Phone/Fax

Practice location:
  • Phone: 686-203-1936
  • Fax:
Mailing address:
  • Phone: 686-203-1936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARON PAYNE-WILLIAMS
Title or Position: DIRECTOR
Credential:
Phone: 686-203-1936