| Lovell Family Clinic, Pc | |
|
1102 W Main St Henryetta OK 74437-4232 | |
| (918) 652-9614 | |
| (918) 652-4831 |
| Full Name | Lovell Family Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1102 W Main St, Henryetta, Oklahoma |
| Authorized Official Name and Position | Donna Lovell (CFO) |
| Authorized Official Contact | 9186529614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovell Family Clinic, Pc Po Box 310 Henryetta OK 74437-0310 Ph: (918) 652-9614 | Lovell Family Clinic, Pc 1102 W Main St Henryetta OK 74437-4232 Ph: (918) 652-9614 |
| NPI Number | 1316130412 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316130412 | NPI | - | NPPES |
| 200065450A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2101 (Oklahoma) | Primary |
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