Healthcare Provider Details

I. General information

NPI: 1689554685
Provider Name (Legal Business Name): LAURA LOVETT RN, BSN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
MORGANTOWN WV
26506-1200
US

IV. Provider business mailing address

722 WYMER RUN RD
JANE LEW WV
26378-7957
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4391
  • Fax: 304-598-4941
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number122590
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: