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Organization
LOVELACE HEALTH SYSTEM, LLC
Active
Organization
LOVELACE HEALTH SYSTEM, LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE, SUITE 102, ALBUQUERQUE, NM 87102-3661
(505) 727-4050
(505) 727-4055
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6011
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
05/29/2019
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