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NPI Code Detail

MEDICARE: M LYNN LOVING M.D.

MEDICARE: M LYNN LOVING M.D.
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
1207Q00000XFamily Medicine Physician35-067046OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10776816OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477546364
Entity Type Code : Individual
Provider Name (Legal Business Name) : M LYNN LOVING M.D.
Provider Business Mailing Address
First Line : PO BOX 78000
Second Line : DEPT 781267
City : DETROIT
State : MI
Zip : 45278-1267
Country : US
Telephone Number : 937-451-3123
Fax Number : 937-350-6477
Provider Business Practice Location Address
First Line : 5350 LAMME RD
Second Line :
City : MORAINE
State : OH
Zip : 45439-3215
Country : US
Telephone Number : 937-451-3123
Fax Number : 937-350-6477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 06/04/2024

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Directions to “ M LYNN LOVING M.D.” Practice Location

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