Provider Demographics
NPI:1043404312
Name:LOVERIDGE-LENZA, BETH ANN (DO)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:LOVERIDGE-LENZA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:61 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4401
Mailing Address - Country:US
Mailing Address - Phone:732-776-4860
Mailing Address - Fax:732-776-3509
Practice Address - Street 1:61 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4401
Practice Address - Country:US
Practice Address - Phone:732-776-4860
Practice Address - Fax:732-776-3509
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2013-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB089300002080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology