Individual
STEPHANIE LEE LOVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4818 BLUFFTON PKWY, BLUFFTON, SC 29910-4602
(843) 706-0600
(833) 916-2116
Mailing address
955 RIBAUT RD, BEAUFORT, SC 29902-5454
(843) 522-7843
(843) 522-5945
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1306
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4239PA
—
SC
Enumeration date
06/02/2008
Last updated
06/30/2021
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