Healthcare Provider Details

I. General information

NPI: 1629268149
Provider Name (Legal Business Name): MEGAN B LOVORN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 08/25/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 N CHURCH ST STE 103
GREENSBORO NC
27401-1035
US

IV. Provider business mailing address

1126 N CHURCH ST STE 103
GREENSBORO NC
27401-1035
US

V. Phone/Fax

Practice location:
  • Phone: 336-663-4900
  • Fax: 336-663-4920
Mailing address:
  • Phone: 336-663-4900
  • Fax: 336-663-4920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2007-01308
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: