Provider Demographics
NPI:1093863839
Name:LOVERSO, FRANK (CP)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:LOVERSO
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 WICKER ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4151
Mailing Address - Country:US
Mailing Address - Phone:919-777-0446
Mailing Address - Fax:919-777-0447
Practice Address - Street 1:615 WICKER ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4151
Practice Address - Country:US
Practice Address - Phone:919-777-0446
Practice Address - Fax:919-777-0447
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0414LOtherBCBS
NC7704336Medicaid
NC7702039Medicaid
NC7795074Medicaid
NC1179580002Medicare NSC
NC7702039Medicaid