Provider Demographics
NPI:1760711428
Name:LOVATO, SARA E (MA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:LOVATO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 MANDARIN PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-5541
Mailing Address - Country:US
Mailing Address - Phone:505-730-1903
Mailing Address - Fax:
Practice Address - Street 1:8105 MANDARIN PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-5541
Practice Address - Country:US
Practice Address - Phone:505-730-1903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide