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Organization

LOVELL MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE LOVELL NP (SOLE MEMBER)
(575) 595-0150
Entity
Organization

Contact information

Practice address
4024 CRESTA PARK AVE NW, ALBUQUERQUE, NM 87114-5163
(575) 595-0150
Mailing address
4024 CRESTA PARK AVE NW, ALBUQUERQUE, NM 87114-5163
(575) 595-0150

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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