Doctor Name: | DR. ROBERT EDWARD LOVERN |
NPI Number: | 1285707000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD- 14011 |
Business Practice Address: | Naval Undersea Medical Institute Bldg 159 Nlon Submarine Base Groton, CT - 06349 |
Business Phone Number: | 6198179545 |
Business Fax Number: | |
Mailing Address: | 4318 Shavano Peak, SAN ANTONIO |
State: | TX |
Postal Code: | 782305807 |
Phone Number: | 6198179545 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD- 14011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |