Provider Demographics
NPI:1558332247
Name:LOVATO, JOSEPH A (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:LOVATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:11310 HURON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3046
Mailing Address - Country:US
Mailing Address - Phone:303-450-7435
Mailing Address - Fax:303-450-7463
Practice Address - Street 1:11310 HURON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-3046
Practice Address - Country:US
Practice Address - Phone:303-450-7435
Practice Address - Fax:303-450-7463
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2015-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO34614207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01346147Medicaid
G49349Medicare UPIN
CO01346147Medicaid