MEDICARE: JOHN ARTHUR LOVIER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	2002201489	NC
2	207V00000X	Obstetrics & Gynecology Physician	254456	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J400008354	OTHER	NY	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386614436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ARTHUR LOVIER JR. M.D.

Provider Business Mailing Address
First Line	:	80 E MAIN ST
Second Line	:
City	:	CANTON
State	:	NY
Zip	:	13617-1450
Country	:	US
Telephone Number	:	315-714-3175
Fax Number	:	315-714-3176

Provider Business Practice Location Address
First Line	:	80 E MAIN ST
Second Line	:
City	:	CANTON
State	:	NY
Zip	:	13617-1450
Country	:	US
Telephone Number	:	315-714-3175
Fax Number	:	315-714-3176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	10/03/2014

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