MEDICARE: ANDREW LOVY D. O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0805X	Geriatric Psychiatry Physician	2003025132	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013917525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW LOVY D. O.

Provider Business Mailing Address
First Line	:	29400 LAKE WAY
Second Line	:
City	:	KIRKSVILLE
State	:	MO
Zip	:	63501-8414
Country	:	US
Telephone Number	:	660-665-1618
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 WELLER ST
Second Line	:
City	:	MACON
State	:	MO
Zip	:	63552-1942
Country	:	US
Telephone Number	:	660-395-0180
Fax Number	:	660-395-0181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	11/21/2017

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