Provider Demographics
NPI:1952530370
Name:LOVINS, ELIZABETH MADONNA (LMT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MADONNA
Last Name:LOVINS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5068 ALERT NEW LONDON RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9215
Mailing Address - Country:US
Mailing Address - Phone:513-307-2517
Mailing Address - Fax:513-353-2500
Practice Address - Street 1:6750 HAMILTON CLEVES RD
Practice Address - Street 2:#41
Practice Address - City:MIAMITOWN
Practice Address - State:OH
Practice Address - Zip Code:45041
Practice Address - Country:US
Practice Address - Phone:513-230-7251
Practice Address - Fax:513-353-2500
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13488225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist