| Family Practice Associates Of Dayton Llc | |
|
5350 Lamme Rd Moraine OH 45439-3215 | |
| (937) 451-3123 | |
| (937) 350-6477 |
| Full Name | Family Practice Associates Of Dayton Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5350 Lamme Rd, Moraine, Ohio |
| Authorized Official Name and Position | M Lynn Loving (M.D.) |
| Authorized Official Contact | 9374513123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Of Dayton Llc Po Box 78000 Dept 781267 Detroit MI 45278-1267 Ph: (937) 451-3123 | Family Practice Associates Of Dayton Llc 5350 Lamme Rd Moraine OH 45439-3215 Ph: (937) 451-3123 |
| NPI Number | 1679696314 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 2769567304 |
|---|---|
| Medicare Enrollment ID | O20080306000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679696314 | NPI | - | NPPES |
| 2416675 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marjorie Lynn Loving |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477546364 PECOS PAC ID: 3577648112 Enrollment ID: I20101130000712 |
| Provider Name | Dixie Rene Mullennix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366436248 PECOS PAC ID: 3072641794 Enrollment ID: I20101130000741 |
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