Individual
FRED CLINTON LOVRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2292
SD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2292
SD
207U00000X
Nuclear Medicine Physician
Primary
2292
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6620048
—
SD
Enumeration date
06/24/2005
Last updated
04/22/2015
Update your record
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