Provider Demographics
NPI:1427768860
Name:LOVERS LANE BIRTH CENTER
Entity type:Organization
Organization Name:LOVERS LANE BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-366-3579
Mailing Address - Street 1:304 S COTTONWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5752
Mailing Address - Country:US
Mailing Address - Phone:214-366-3579
Mailing Address - Fax:214-366-3580
Practice Address - Street 1:304 S COTTONWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5752
Practice Address - Country:US
Practice Address - Phone:214-366-3579
Practice Address - Fax:214-366-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty