Lovall And Associates, P.c. | |
208 Meadow Dr Danville IN 46122-1416 | |
(317) 718-5523 | |
(317) 718-5576 |
Full Name | Lovall And Associates, P.c. |
---|---|
Speciality | Family Medicine |
Location | 208 Meadow Dr, Danville, Indiana |
Authorized Official Name and Position | Larry Dwayne Lovall (PHYSICIAN) |
Authorized Official Contact | 3177185523 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lovall And Associates, P.c. 208 Meadow Dr Danville IN 46122-1416 Ph: (317) 718-5523 | Lovall And Associates, P.c. 208 Meadow Dr Danville IN 46122-1416 Ph: (317) 718-5523 |
NPI Number | 1164616231 |
---|---|
Provider Enumeration Date | 08/31/2007 |
Last Update Date | 04/26/2012 |
Medicare PECOS PAC ID | 8921194838 |
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Medicare Enrollment ID | O20071023000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164616231 | NPI | - | NPPES |
DG2915 | Other | IN | RAILROAD MEDICARE |
200300110A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01025398 (Indiana) | Primary |
Provider Name | Larry D Lovall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386615490 PECOS PAC ID: 2365538337 Enrollment ID: I20071022000833 |
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