Provider Demographics
NPI:1609913029
Name:LOVINGOOD, LORI ANN (CNA)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:LOVINGOOD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BELFOR CIR
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-3136
Mailing Address - Country:US
Mailing Address - Phone:865-983-4582
Mailing Address - Fax:865-983-4574
Practice Address - Street 1:1006 E LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5132
Practice Address - Country:US
Practice Address - Phone:865-983-4581
Practice Address - Fax:865-983-4574
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide