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WALTER JACK LOVERN M.D. NPI 1306833827


NPI Information

NPI: 1306833827
Provider Name: WALTER JACK LOVERN, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
2500 RACQUET LN
STE 100
YAKIMA, WA
ZIP 98902
Phone: (509) 249-3900
Get Directions

Walter Jack Lovern, M.D. is an urology in Yakima, WA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Walter Jack Lovern, M.D. NPI is 1306833827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 RACQUET LN
STE 100
YAKIMA, WA
ZIP 98902-114
Phone: (509) 249-3900
Fax: (509) 573-9539

The enumeration date for this NPI number is 9/29/2005 and was last updated on 11/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology025209MD00014720WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A06875MEDICARE UPINWASHINGTON
21015635MEDICAIDWASHINGTON
3G115145903MEDICARE PINWASHINGTON
4340011801OTHERWASHINGTONRAILROAD MEDICARE PIN
5340011502OTHERWASHINGTONRAILROAD MEDICARE PIN
6G115119101MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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