Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 20109 | SC |
N | 2086S0122X | Plastic and Reconstructive Surgery | 20109 | SC |
NPI | 1477521227 |
---|---|
Provider Name | David Brian Lovice |
First Address | Sumter, SC 29150-4916 |
Second Address | Sumter, SC 29150-4916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G74565 | (02) | SC |
T41728 | (05) | SC |