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1629268149

NPI Code Detail

MEDICARE: MEGAN B LOVORN MD

MEDICARE: MEGAN B LOVORN 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	208100000X	Physical Medicine & Rehabilitation Physician	2007-01308	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	201087	OTHER		MEDCOST
2	9510114	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	147CK	OTHER		BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	810625	OTHER		PARTNERS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629268149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN B LOVORN MD

Provider Business Mailing Address
First Line	:	1126 N CHURCH ST STE 103
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1035
Country	:	US
Telephone Number	:	336-663-4900
Fax Number	:	336-663-4920

Provider Business Practice Location Address
First Line	:	1126 N CHURCH ST STE 103
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1035
Country	:	US
Telephone Number	:	336-663-4900
Fax Number	:	336-663-4920

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

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	08/25/2021

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Directions to “ MEGAN B LOVORN MD” Practice Location

Language	Start Address	Practice Location

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