person
Ms. Hannah Lovallo, PA-C
Medical Physician Assistant in Fayetteville, New York
NPI 1902134216

Hannah Lovallo is a Medical Physician Assistant based in Fayetteville, NY and is specialized in Medical. Hannah Lovallo practices in Fayetteville, NY and has the professional credentials of PA-C. The NPI Number for Hannah Lovallo is 1902134216 and holds a License No. MA054237 (New York).

The current practice location address for Hannah Lovallo is 4103 Medical Center Dr, Fayetteville, NY and can be reached out via phone at 315-637-7800 and via fax at 315-637-7808.

Location: 4103 Medical Center Dr, Fayetteville, NY, 13066-6600
person
Provider Profile Details
NPI Number
1902134216
Provider Name
Hannah Lovallo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4103 Medical Center Dr, Fayetteville, NY, 13066-6600
Phone Number
315-637-7800
Fax Number
315-637-7808
Provider Enumeration Date
11/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03488011 05 NY
institution
Provider Business Practice Location Address Details
Address
4103 Medical Center Dr
City
State
Zip
13066-6600
Phone Number
315-637-7800
Fax Number
315-637-7808
person
Provider Business Mailing Address Details
Address
4103 Medical Center Dr
City
State
Zip
13066-6600
Phone Number
315-637-7800
Fax Number
315-637-7808
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA054237 (Pennsylvania)
Definition
Definition to come...
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