Provider Demographics
NPI:1275568107
Name:LOVINS, CAROL MARIA (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:MARIA
Last Name:LOVINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-344-5555
Mailing Address - Fax:859-344-5552
Practice Address - Street 1:98 ELM ST
Practice Address - Street 2:SUITE 400
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1806
Practice Address - Country:US
Practice Address - Phone:812-537-9100
Practice Address - Fax:812-537-9145
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047471A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000036359OtherANTHEM PROVIDER #
IN200205820AMedicaid
IN172420BMedicare PIN