Provider Demographics
NPI:1386614436
Name:LOVIER, JOHN ARTHUR JR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ARTHUR
Last Name:LOVIER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-1450
Mailing Address - Country:US
Mailing Address - Phone:315-714-3175
Mailing Address - Fax:315-714-3176
Practice Address - Street 1:80 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1450
Practice Address - Country:US
Practice Address - Phone:315-714-3175
Practice Address - Fax:315-714-3176
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2002201489207V00000X
NY254456207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400008354OtherMEDICARE PTAN
NY03142601Medicaid