MEDICARE: ALICIA LOVELESS

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	372600000X	Adult Companion		NE

General Provider Information

NPI Number	:	1194695080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA LOVELESS

Provider Business Mailing Address
First Line	:	3606 PARK LANE DR APT 6
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-3377
Country	:	US
Telephone Number	:	308-850-9634
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 W FAIDLEY AVE
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-4108
Country	:	US
Telephone Number	:	308-381-0634
Fax Number	:

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

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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Directions to “ ALICIA LOVELESS ” Practice Location

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