Provider Demographics
NPI:1346046992
Name:ASABA, LOVELYNE AYANGIM
Entity type:Individual
Prefix:
First Name:LOVELYNE
Middle Name:AYANGIM
Last Name:ASABA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 ALBATROSS CT BLDG 7405
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4758
Mailing Address - Country:US
Mailing Address - Phone:240-263-0094
Mailing Address - Fax:
Practice Address - Street 1:7405 ALBATROSS CT BLDG 7405
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4758
Practice Address - Country:US
Practice Address - Phone:240-263-0094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide