Individual
MS. ELIZABETH ANN LOVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31755 DATE PALM DR, CATHEDRAL CITY, CA 92234-3101
(760) 770-3399
Mailing address
1327 VIA PALMERA, CATHEDRAL CITY, CA 92234-4394
(812) 470-1745
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00610
IA
363A00000X
Physician Assistant
0010-08736
NC
363A00000X
Physician Assistant
Primary
PA61570
CA
363AS0400X
Surgical Physician Assistant
001881
IA
363AS0400X
Surgical Physician Assistant
10001974A
IN
Other
Enumeration date
01/30/2008
Last updated
10/13/2023
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