Provider Demographics
NPI:1265655039
Name:LOVINSKY, CAMILLE S
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:S
Last Name:LOVINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7795 WORLEY DR
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9186
Mailing Address - Country:US
Mailing Address - Phone:614-599-3723
Mailing Address - Fax:
Practice Address - Street 1:7795 WORLEY DR
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-9186
Practice Address - Country:US
Practice Address - Phone:614-599-3723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 329740163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health