Doctor Name: | MS. TINA LEA LOVINGS |
NPI Number: | 1063731453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 189111 |
Business Practice Address: | 4503 Old Monroe Rd Indian Trail, NC - 280795309 |
Business Phone Number: | 7048216900 |
Business Fax Number: | 7048216911 |
Mailing Address: | Po Box 601888, CHARLOTTE |
State: | NC |
Postal Code: | 282601888 |
Phone Number: | 7048216900 |
Fax Number: | 7048216911 |
NPI Enumeration Date: | 05/25/2010 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 189111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |