Individual
VLADIMIR LOMIVOROTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
LT000904
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT000904
—
PA
Enumeration date
04/20/2022
Last updated
04/20/2022
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