Provider Demographics
NPI:1417403924
Name:HINTON, LOVIEDEE STAR
Entity Type:Individual
Prefix:
First Name:LOVIEDEE
Middle Name:STAR
Last Name:HINTON
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 1:30630 LATOURETTE DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-7012
Mailing Address - Country:US
Mailing Address - Phone:217-413-7686
Mailing Address - Fax:
Practice Address - Street 1:30630 LATOURETTE DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-7012
Practice Address - Country:US
Practice Address - Phone:217-413-7686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker