MEDICARE: MARIANO DULAY LOVERANES MD

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	208000000X	Pediatrics Physician	AL 9368792	PA
2	208600000X	Surgery Physician	AL 9368792	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1598757866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANO DULAY LOVERANES MD

Provider Business Mailing Address
First Line	:	706 WORTH ST
Second Line	:	13466 ROUTE 6
City	:	CORRY
State	:	PA
Zip	:	16407-8517
Country	:	US
Telephone Number	:	814-664-2666
Fax Number	:	814-664-8931

Provider Business Practice Location Address
First Line	:	706 WORTH ST
Second Line	:
City	:	CORRY
State	:	PA
Zip	:	16407-8517
Country	:	US
Telephone Number	:	814-664-2666
Fax Number	:	814-664-8931

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	02/26/2010

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Directions to “ MARIANO DULAY LOVERANES MD” Practice Location

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