Individual
SUSAN UPTON LOVRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 HIGHWAY 50, #D, PECOS, NM 87552
(505) 757-6482
Mailing address
PO BOX 710, HWY 50, PECOS, NM 87552
(505) 757-6482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2006-0023
NM
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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