Individual
JOHN OTTO LOVRETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 924-8264
(225) 924-8242
Mailing address
8230 SUMMA AVE STE C, BATON ROUGE, LA 70809-3465
(225) 757-0552
(225) 763-9997
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
019094
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1910732
—
LA
Enumeration date
10/17/2006
Last updated
06/05/2015
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