| Lovelace Medical, Pc | |
|
944 N Broadway Suite 102 Yonkers NY 10701-1304 | |
| (901) 726-4110 | |
| Not Available |
| Full Name | Lovelace Medical, Pc |
|---|---|
| Speciality | General Practice |
| Location | 944 N Broadway, Yonkers, New York |
| Authorized Official Name and Position | Jerry Lee Lovelace (PHYSICIAN) |
| Authorized Official Contact | 9017264110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovelace Medical, Pc 1488 Madison Ave Memphis TN 38104-2447 Ph: (901) 726-4110 | Lovelace Medical, Pc 944 N Broadway Suite 102 Yonkers NY 10701-1304 Ph: (901) 726-4110 |
| NPI Number | 1366621401 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366621401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 226835 (New York) | Primary |
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