Provider Demographics
NPI:1871082016
Name:LOVETT, CHERYL (MS)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:LOVETT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 UNION AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49507-3247
Mailing Address - Country:US
Mailing Address - Phone:616-540-5588
Mailing Address - Fax:
Practice Address - Street 1:1014 CARMEN DR
Practice Address - Street 2:
Practice Address - City:WEIDMAN
Practice Address - State:MI
Practice Address - Zip Code:48893-8828
Practice Address - Country:US
Practice Address - Phone:616-540-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty