Provider Demographics
NPI:1245426584
Name:LOVELAND, LORI KAY (LPA BCIAC LMBT)
Entity Type:Individual
Prefix:MISS
First Name:LORI
Middle Name:KAY
Last Name:LOVELAND
Suffix:
Gender:F
Credentials:LPA BCIAC LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7E OAK BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407
Mailing Address - Country:US
Mailing Address - Phone:336-294-0910
Mailing Address - Fax:336-218-0294
Practice Address - Street 1:7E OAK BRANCH DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407
Practice Address - Country:US
Practice Address - Phone:336-294-0910
Practice Address - Fax:336-218-0294
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC675103T00000X
NC0330208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation