Provider Demographics
NPI:1275846735
Name:LOVELESS, RACHEL LEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LEE
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:LEE
Other - Last Name:LINTVEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 NORTH 30TH STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131
Mailing Address - Country:US
Mailing Address - Phone:402-280-8100
Mailing Address - Fax:402-280-8103
Practice Address - Street 1:555 NORTH 30TH STREET
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131
Practice Address - Country:US
Practice Address - Phone:402-498-6540
Practice Address - Fax:402-498-6512
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE280231H00000X
NE103237600000X
IA000735231H00000X
IA001017237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter