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Individual
CANDIS M LOVELACE
Active
Individual
CANDIS M LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
N3845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208491501
—
TX
01
—
8CC632
BCBS
TX
Enumeration date
02/07/2007
Last updated
08/14/2012
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