Provider Demographics
NPI:1073716353
Name:LINDON, LOVETTE K (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOVETTE
Middle Name:K
Last Name:LINDON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 BAYLISS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4708
Mailing Address - Country:US
Mailing Address - Phone:770-579-6558
Mailing Address - Fax:770-579-0100
Practice Address - Street 1:765 BAYLISS DR
Practice Address - Street 2:SUITE B
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4708
Practice Address - Country:US
Practice Address - Phone:770-579-6558
Practice Address - Fax:770-579-0100
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator