Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 056131 | GA |
Y | 207PE0004X | Emergency Medical Services | 12937 | NV |
NPI | 1063462364 |
---|---|
Provider Name | Aaron Vincent Lovinger |
First Address | Las Vegas, NV 89125-1569 |
Second Address | Las Vegas, NV 89128-0436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 13/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BL9208148 | DEA (01) | |
CS17647 | PHARMACY CERTIFICATE (01) | NV |