Provider Demographics
NPI:1740792910
Name:LOVINSKY, LINNEA (DAOM, LAC)
Entity Type:Individual
Prefix:
First Name:LINNEA
Middle Name:
Last Name:LOVINSKY
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:LINNEA
Other - Middle Name:
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAOM, LAC
Mailing Address - Street 1:66 NOOSENECK HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-1523
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:66 NOOSENECK HILL RD
Practice Address - Street 2:
Practice Address - City:WEST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02817-1523
Practice Address - Country:US
Practice Address - Phone:401-397-6333
Practice Address - Fax:401-397-3124
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-28
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDAOM00069171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDAOM00069OtherRHODE ISLAND DEPARTMENT OF HEALTH