Guanco, Lovell I

Guanco, Lovell I is an individual health care provider with primary practice located at 47100 Schoenherr Rd Ste B, Shelby Twp MI 48315-4716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Guanco, Lovell I can be contacted via phone (586) 566-6880.

Contact Information

Primary practice address
47100 Schoenherr Rd Ste B Shelby Twp MI 48315-4716
Fax: (586) 566-6882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 031105 Michigan

Profile Details

NPI number 1295811529
LBN Legal business name Guanco, Lovell I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2006
Last updated Oct 1st, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295811529 NPPES
Michigan MEDICAID 2107150

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