Provider Demographics
NPI:1144854894
Name:LOVERES, EDWARD JOHN
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:JOHN
Last Name:LOVERES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 DEL HOLLOW ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-2845
Mailing Address - Country:US
Mailing Address - Phone:562-879-8383
Mailing Address - Fax:
Practice Address - Street 1:2203 DEL HOLLOW ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-2845
Practice Address - Country:US
Practice Address - Phone:562-879-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider