Provider Demographics
NPI:1689435224
Name:LOVELACE, DIANNA L
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:L
Last Name:LOVELACE
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 1:4394 KELMAN CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-8095
Mailing Address - Country:US
Mailing Address - Phone:916-458-5312
Mailing Address - Fax:
Practice Address - Street 1:4394 KELMAN CT
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-8095
Practice Address - Country:US
Practice Address - Phone:916-458-5312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula