Provider Demographics
NPI:1831146307
Name:STOJANOV, LOVORKA POLIC (MD)
Entity Type:Individual
Prefix:DR
First Name:LOVORKA
Middle Name:POLIC
Last Name:STOJANOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 SAINT SEBASTIAN WAY
Mailing Address - Street 2:POB 1, 5A
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2643
Mailing Address - Country:US
Mailing Address - Phone:706-722-4378
Mailing Address - Fax:706-722-1410
Practice Address - Street 1:820 SAINT SEBASTIAN WAY
Practice Address - Street 2:POB 1, 5A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2643
Practice Address - Country:US
Practice Address - Phone:706-722-4378
Practice Address - Fax:706-722-1410
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052306207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology