| Charles F. Lovell, Jr., M.d., Facp, P.c. | |
|
1401 Tidewater Dr Ste 1 Norfolk VA 23504-2840 | |
| (757) 623-3038 | |
| (757) 623-0101 |
| Full Name | Charles F. Lovell, Jr., M.d., Facp, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Tidewater Dr Ste 1, Norfolk, Virginia |
| Authorized Official Name and Position | Charles F. Lovell (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 7576233038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles F. Lovell, Jr., M.d., Facp, P.c. 1401 Tidewater Dr Ste 1 Norfolk VA 23504-2840 Ph: (757) 623-3038 | Charles F. Lovell, Jr., M.d., Facp, P.c. 1401 Tidewater Dr Ste 1 Norfolk VA 23504-2840 Ph: (757) 623-3038 |
| NPI Number | 1831356948 |
|---|---|
| Provider Enumeration Date | 05/18/2008 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 6305823089 |
|---|---|
| Medicare Enrollment ID | O20040630001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831356948 | NPI | - | NPPES |
| 006074936 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27439 (Virginia) | Primary |
| Provider Name | Charles F Lovell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174629448 PECOS PAC ID: 3971532011 Enrollment ID: I20120514000377 |
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