Individual
DR. INDRA RAY LOVKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GENERAL WING RD, RUTLAND, VT 05701-4681
(802) 773-9131
(802) 773-1551
Mailing address
71 ALLEN POND, SUITE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0009659
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01882746
—
NY
01
—
10041309
CDPHP
—
05
—
1006373
—
VT
01
—
26425
MVP-MOHAWK VALLEY HP
—
01
—
286236
CIGNA NH
NH
01
—
38482
VT BLUE CROSS BLUE SHIELD
VT
01
—
416145-001
CIGNA
—
Enumeration date
03/23/2007
Last updated
08/26/2016
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