Individual
LOVETTA L WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
(757) 826-9028
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170804
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700229630
—
VA
01
—
P01222284
RAILROAD MEDICARE
VA
Enumeration date
04/10/2013
Last updated
03/27/2015
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