Individual
LOVETTA PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2232 WILBORN AVE, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
(434) 572-2063
Mailing address
P.O. BOX 860, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
(434) 572-2063
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101237158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010110041
—
VA
01
—
153791
BCBS
VA
01
—
90968
OPTIMA
—
Enumeration date
03/14/2006
Last updated
09/08/2016
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