# LOVELESS ORTHOPEDIC APPLIANCE

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

## Provider details

- **NPI number:** 1851560825
- **Authorized official:** MR. GARY LOVELESS C.O., L.P.O.,LPED (PRESIDENT)
- **Authorized official phone:** (405) 631-9731

## Contact information

- **Practice address:** 4400 SW 21ST ST, OKLAHOMA CITY, OK 73108-1747
- **Practice address phone:** (405) 631-9731
- **Practice address fax:** (405) 634-9717
- **Mailing address:** 4400 SW 21ST ST, OKLAHOMA CITY, OK 73108-1747
- **Mailing address phone:** (405) 631-9731
- **Mailing address fax:** (405) 634-9717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | 23 | OK | Yes |
| 332BC3200X | Customized Equipment (DME) | 31 | OK | — |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 02/25/2008