Provider Demographics
NPI:1588686745
Name:LOVETT, RICHARD DANA (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DANA
Last Name:LOVETT
Suffix:
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 1:160 ALLEN ST.
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701
Mailing Address - Country:US
Mailing Address - Phone:800-395-7122
Mailing Address - Fax:
Practice Address - Street 1:160 ALLEN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4560
Practice Address - Country:US
Practice Address - Phone:802-747-1831
Practice Address - Fax:802-747-1826
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10210912085R0001X
NY3219502085R0001X
VT04200081732085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT157942OtherCIGNA HEALTHCARE
VT1003086Medicaid
VT8351OtherBCBS VT
VT8351OtherBCBS VT
VTE61442Medicare UPIN