Healthcare Provider Details

I. General information

NPI: 1407963978
Provider Name (Legal Business Name): LOVETTA FORD MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA MEDICAL CENTER UNIVERSITY DRIVE C
PITTSBURGH PA
15240
US

IV. Provider business mailing address

1542 CUMBERLAND ST
PITTSBURGH PA
15205-3620
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6203
  • Fax: 412-688-6919
Mailing address:
  • Phone: 412-688-6203
  • Fax: 412-688-6919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License NumberSW008074L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: