Individual
JONATHAN LOVOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 690-3585
(425) 690-9585
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60958339
WA
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136736
—
WA
Enumeration date
06/15/2017
Last updated
07/30/2020
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