Provider Demographics
NPI:1487525895
Name:LOVELL CHIROPRACTIC
Entity type:Organization
Organization Name:LOVELL CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GWEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LOVELL KOLLATH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-276-5135
Mailing Address - Street 1:PO BOX 379
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-0379
Mailing Address - Country:US
Mailing Address - Phone:515-276-5135
Mailing Address - Fax:515-706-8904
Practice Address - Street 1:5800 MERLE HAY RD STE 10
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1217
Practice Address - Country:US
Practice Address - Phone:515-276-5135
Practice Address - Fax:515-706-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service