# LOVELL FAMILY CLINIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316130412
- **Authorized official:** DONNA LOVELL (CFO)
- **Authorized official phone:** (918) 652-9614

## Contact information

- **Practice address:** 1102 W MAIN ST, HENRYETTA, OK 74437-4232
- **Practice address phone:** (918) 652-9614
- **Practice address fax:** (918) 652-4831
- **Mailing address:** PO BOX 310, HENRYETTA, OK 74437-0310
- **Mailing address phone:** (918) 652-9614
- **Mailing address fax:** (918) 652-4831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2101 | OK | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 03/03/2010