Individual
DR. JEFFREY L LOVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2445 ARMY NAVY DR, ARLINGTON, VA 22206-2905
(703) 892-6500
(703) 799-5989
Mailing address
2445 ARMY NAVY DR, ARLINGTON, VA 22206-2905
(703) 892-6500
(703) 799-5989
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101048993
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0101048993
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005
CIGNA ID
—
01
—
00196
UNITED ID
—
01
—
0738321
AETNA HMO
—
01
—
074829
ANTHEM ID
—
01
—
148820100
DEPT OF LABOR ID
—
01
—
25090039
BLUE CROSS BLUE SHIELD ID
—
01
—
4304627
AETNA PPO
—
01
—
502350
NCPPO
—
Enumeration date
07/19/2006
Last updated
04/07/2014
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