Provider Demographics
NPI:1265859383
Name:INWANG, LOVINA (LPN)
Entity Type:Individual
Prefix:
First Name:LOVINA
Middle Name:
Last Name:INWANG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-3582
Mailing Address - Country:US
Mailing Address - Phone:718-541-5930
Mailing Address - Fax:
Practice Address - Street 1:33 N 3RD AVE APT 6F
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-1352
Practice Address - Country:US
Practice Address - Phone:516-502-5261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY742030163WH0200X
NY318078164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse