Provider Demographics
NPI:1376173724
Name:DOVIN, LORRIE EVANS (RN, CDCES)
Entity type:Individual
Prefix:
First Name:LORRIE
Middle Name:EVANS
Last Name:DOVIN
Suffix:
Gender:F
Credentials:RN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14575 DAUPHIN ISLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:CODEN
Mailing Address - State:AL
Mailing Address - Zip Code:36523-2909
Mailing Address - Country:US
Mailing Address - Phone:251-454-1151
Mailing Address - Fax:251-873-4887
Practice Address - Street 1:6701 AIRPORT BLVD BLDG D436
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6705
Practice Address - Country:US
Practice Address - Phone:251-266-2730
Practice Address - Fax:251-266-2070
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-051049163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator