Basic Information
Provider Information
NPI: 1407829393
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOVINS
FirstName: RACHEL
MiddleName: ILANA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 590 COURT ST
Address2:  
City: KEENE
State: NH
PostalCode: 034311719
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 590 COURT ST
Address2:  
City: KEENE
State: NH
PostalCode: 034311719
CountryCode: US
TelephoneNumber: 6036508380
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/10/2006
LastUpdateDate: 12/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X041863CTN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X41863CTN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RH0002X41863CTN Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
208M00000X041863CTN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X20087NHY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
00141863205CT MEDICAID


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