Provider Demographics
NPI:1194420554
Name:LOVINS, CRAIG ANTHONY
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ANTHONY
Last Name:LOVINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1310
Mailing Address - Country:US
Mailing Address - Phone:317-724-2476
Mailing Address - Fax:
Practice Address - Street 1:1305 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-1310
Practice Address - Country:US
Practice Address - Phone:317-724-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator