Provider Demographics
NPI:1023035037
Name:LOVELY, FIONA HEBRON (DC)
Entity Type:Individual
Prefix:DR
First Name:FIONA
Middle Name:HEBRON
Last Name:LOVELY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:350 BROADWAY ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-3343
Mailing Address - Country:US
Mailing Address - Phone:303-499-4500
Mailing Address - Fax:303-494-4982
Practice Address - Street 1:350 BROADWAY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-3343
Practice Address - Country:US
Practice Address - Phone:303-499-4500
Practice Address - Fax:303-494-4982
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO5902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor