Provider Demographics
NPI:1376583930
Name:DOVE, LORNA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:M
Last Name:DOVE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 27036
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-7036
Mailing Address - Country:US
Mailing Address - Phone:212-305-9576
Mailing Address - Fax:212-305-9480
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:PH 14-C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-0914
Practice Address - Fax:212-305-4343
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2018-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY221886-1207RT0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02187337Medicaid
NY02187337Medicaid