Individual
ALYSSA MARIE LOVERGINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6490
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010269RX
OH
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2023
Last updated
06/05/2026
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